Developmental dysplasia of the hip

Dezateux, Carol; Rosendahl, Karen

doi:10.1016/s0140-6736(07)60710-7

Cited by 335 publications

(249 citation statements)

References 123 publications

Supporting

Mentioning

229

Contrasting

Unclassified

Order By: Relevance

“…Consequently, the treatment algorithm from screening through diagnosis and management may be distinct from other centers and provide an opportunity to compare whole treatment processes as opposed to individual factors. There are few large, multicenter trials that have prospectively collected data on patients with DDH [8,10,12]. When we examined laterality, the left hip was more commonly affected, consistent with the literature in the field.…”

Section: Discussionsupporting

confidence: 82%

See 1 more Smart Citation

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?

Mulpuri

Schaeffer

Kelley

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

Background Little information exists concerning the variability of presentation and differences in treatment methods for developmental dysplasia of the hip (DDH) in children \ 18 months. The inherent advantages of prospective multicenter studies are well documented, but data from different centers may differ in terms of important variables such as patient demographics, diagnoses, and treatment or management decisions. The purpose of this study was to determine whether there is a difference in baseline data among the nine centers in five countries affiliated with the International Hip Dysplasia Institute to establish the need to consider the center as a key variable in multicenter studies. Questions/purposes (1) How do patient demographics differ across participating centers at presentation? (2) How do patient diagnoses (severity and laterality) differ across centers? (3) How do initial treatment approaches differ across participating centers? Methods A multicenter prospective hip dysplasia study database was analyzed from 2010 to April 2015. Patients younger than 6 months of age at diagnosis were included if at least one hip was completely dislocated, whereas patients between 6 and 18 months of age at diagnosis were included with any form of DDH. Participating centers (academic, urban, tertiary care hospitals) span five countries across three continents. Baseline data (patient demographics, diagnosis, swaddling history, baseline International Hip Dysplasia Institute classification, and initial treatment) were compared among all nine centers. A total of 496 patients were enrolled with site enrolment ranging from 10 to 117. The proportion of eligible patients who were enrolled and followed at the nine participating centers was 98%. Patient enrollment rates were similar across all sites, and data collection/completeness for relevant variables at initial presentation was comparable. 123 Clin Orthop Relat Res (2016) 474:1138-1145 DOI 10.1007/s11999-016-4746-y Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons®Results In total, 83% of all patients were female (410 of 496), and the median age at presentation was 2.2 months (range, 0-18 months). Breech presentation occurred more often in younger (\6 months) than in older (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) Conclusions With the lack of strong prognostic indicators for DDH identified to date, the center is an important variable to include as a potential predictor of treatment success or failure.

show abstract

Section: Discussionsupporting

confidence: 82%

“…Breech presentation occurred more often in younger (\ 6 months) patients than in older (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) …”

Section: Patient Demographicsmentioning

confidence: 99%

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?

Mulpuri

Schaeffer

Kelley

et al. 2016

Clinical Orthopaedics &Amp; Related Research

View full text Add to dashboard Cite

show abstract

“…17 However, early detection and treatment does not entirely avoid the need for subsequent surgery, and surgery is needed by up to 5% of infants treated with abduction splinting. 18 The indications for the various procedures and the most effective management interventions remain controversial. Several small studies have shown that stable hips with mild dysplasia can be observed safely for six weeks before a decision to treat is made.…”

Section: Managementmentioning

confidence: 99%

Risk factors and diagnosis of developmental dysplasia of hip in children

Agarwal

Gupta

2012

Journal of Clinical Orthopaedics and Trauma

View full text Add to dashboard Cite

“…Developmental dysplasia of the hip (DDH) is a spectrum of hip joint abnormalities ranging from mild temporary instability to frank dislocation (1). The overall DDH risk is about 1 per 1000 according to the statistics (2) Mild cases of DDH usually resolve spontaneously.…”

mentioning

confidence: 99%

Altered Chondrocyte Apoptosis Status in Developmental Hip Dysplasia in Rabbits

Liu

et al. 2016

Balkan Med J

View full text Add to dashboard Cite

Developmental dysplasia of the hip

Cited by 335 publications

References 123 publications

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?

Risk factors and diagnosis of developmental dysplasia of hip in children

Altered Chondrocyte Apoptosis Status in Developmental Hip Dysplasia in Rabbits

Contact Info

Product

Resources

About