2016
DOI: 10.1007/s11832-016-0729-5
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Long-term outcome following medial open reduction in developmental dysplasia of the hip: A retrospective cohort study

Abstract: IntroductionAvascular necrosis (AVN) is a serious complication of treatment for developmental dysplasia of the hip. There is ongoing controversy regarding AVN and its influence on hip development following medial open reduction (MOR).PurposeThe aim of our study was to (1) determine the long-term prevalence of AVN following MOR, (2) evaluate hip development after MOR, and (3) identify predictors of AVN and radiographic outcome at skeletal maturity after MOR.MethodsA retrospective cohort analysis of 60 patients … Show more

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Cited by 14 publications
(6 citation statements)
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“…In the literature osteonecrosis is reported in 6% to 48%. 5,[17][18][19][20] Better results for arthroscopic reduction are also confirmed by some authors 10,12 who assume that a reduction in osteonecrosis can be achieved by a more gentle, arthroscopic approach (Fig. 2).…”
Section: Discussionmentioning
confidence: 77%
“…In the literature osteonecrosis is reported in 6% to 48%. 5,[17][18][19][20] Better results for arthroscopic reduction are also confirmed by some authors 10,12 who assume that a reduction in osteonecrosis can be achieved by a more gentle, arthroscopic approach (Fig. 2).…”
Section: Discussionmentioning
confidence: 77%
“…With a reported frequency between 1% and 11%, redislocation is an important complication in the treatment of DDH. [15][16][17] Although several etiological factors effective in the development of redislocation have been identified, the associated risk factors have not been revealed. 5 No matter what the cause is, early diagnosis and rapid intervention are crucial in the treatment of redislocation.…”
Section: Discussionmentioning
confidence: 99%
“…Gardner et al (14) stated, in a recently published retrospective cohort study, that they have abandoned the use of medial open reduction (MOR) for developmental dysplasia of the hip at their department due to a high rate of clinically relevant AVN (type 2-4 according to the Bucholz and Ogden classification) and unsatisfactory long-term outcome following MOR. The overall rate was 32.9% with 82.6% being type 2.…”
Section: Discussionmentioning
confidence: 99%