Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: A long‐term follow‐up

Fu, Zhe; Yang, Jianping; Zeng, Pei; Zhang, Zhongli

doi:10.1111/os.12113

Cited by 16 publications

(24 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It was previously identi ed that the age at onset of initial treatment and degree of dislocation (according to tonnis classi cation) were a major risk factors for AVN, but gender, laterality, age, adductor tenotomy and the use of abductor brace were not recognized as risk factors (8) . Moreover most of the patients whom ended up by satisfactory outcome, were between horizontal and oblique in regard of orientation of sourcil with RI less than 33% as also observed in Zhe Fu study (14) .…”

Section: Discussionsupporting

confidence: 70%

“…Detecting abnormalities or unimproved hips early post closed reduction and surgical intervention is important to avoid long term complications (11) . Age of the patient at reduction, gender of the patient, side, grade of displacement, acetabular index (AI), center-edge angle of Wiberg (CE), Reimer's index (RI), center-head discrepancy distance (CHDD), orientation of sourcil and performing adductor tenotomy are factors which may predict the outcome of closed reduction (9,11,12,13,14) . Radiographic results are associated with the outcome of closed reduction (6) .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia

Alshayhan

Alsiddiky

Barri

2020

Preprint

View full text Add to dashboard Cite

Background: Developmental dysplasia of hip (DDH) management is challenging hence there is no fixed rules or radiographic criteria to assess and manage DDH. There are many treating modalities including closed reduction, open reduction, skin traction, hip Spica and many others. This study is to assess the outcome of closed reduction in patients below 12 months of ages.Method: A retrospective study among patients with DDH who underwent closed reduction before the first year of age in a major referral medical center. The study included 100 patients and 168 hips. Average of follow up period was 5.97 years (±3.01). Couple of variables were measured in AP x ray of pelvis to assess the outcome of closed reduction. Results: Most of the hips were grade 1 and 2 according to the IHDI (International hip dysplasia institution) classification. Significant improvement in the acetabular index post closed reduction. In addition to the normalizing of CE angel's values. Also, majority of hips were severin's class 1 and 2 which were associated with good outcome.Conclusion: Safe closed reduction in patients with DDH below one year of age had a great outcome, less AVN, less growth complications and decrease the need of future open reduction.

show abstract

Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia

Alshayhan

Alsiddiky

Barri

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Проте за умови збереження деформації в суглобі з часом виникають зміни м'яких тканин, пізніше -зміни з боку вертлюгової западини та проксимального відділу стегнової кістки [5]. Це призводить до розвитку резидуальної ацетабулярної дисплазії (РАД) (у 17-33% хворих із ДКС незалежно від методу лікування) [7], що стає причиною перенавантаження певних частин суглобового хряща та розвитку раннього деформуючого остеоартрозу кульшового суглоба [8]. Варто розуміти, що виникнення остеоартрозу є лише кінцевим етапом історії перебігу ДКС.…”

Section: вступunclassified

“…Через те, що РАД є частим ускладненням після застосування закритого вправлення та часто має безсимптомний перебіг, рішення щодо оперативного втручання приймається на основі рентгенологічних даних. Є певні предиктори, що вказують на невдалий результат закритого вправлення та необхідність застосування оперативного лікування [8,14,22].…”

Section: вступunclassified

Acetabular Dysplasia: a Modern View of the Problem (Literature Review)

Filipchuk

Suvorov

2020

HOTP

View full text Add to dashboard Cite

Summary. Hip dysplasia is the most common orthopedic problem in the practice of pediatric orthopedists. A significant problem with hip dysplasia is the divergence of nomenclature units, which is related to different points of view on the pathophysiology of the process. Contemporary conception defines hip dysplasia as a dynamic condition – “developmental dysplasia of the hip (DDH)”, which (in the absence of treatment) worsens with age and leads to the development of early hip osteoarthritis and requires hip replacement in young people. The leading macromorphological substrate of DDH is acetabular dysplasia, which is a spatial and structural change of acetabulum. For the treatment of acetabular dysplasia, conservative or surgical treatment (depending on the age of the child and the presence of previous treatment) is used. The most problematic solution is the treatment tactics for walking-age children. This is due to two factors: 1) increased loading on certain parts of the articular cartilage of the acetabulum during gait, which leads to the progression of deformity of the acetabulum and to progression of pathology; 2) changes in morphology of the intra-articular and extra-articular structures. However, better results with fewer complications are achieved after surgery. Biomechanically justified for acetabular dysplasia are pelvic osteotomies, which are divided into reconstructive and “salvage” procedures (preference is given to reconstructive procedures, which allows saving the native articular cartilage of acetabulum). Each osteotomy has its own advantages and disadvantages. When comparing three pelvic osteotomies commonly used in children (Salter, Pemberton and Dega), it is found that better results are achieved in children younger than 4 years after Salter’s osteotomy, results in older children are better after Dega’s osteotomy, and there is a high risk of femoroacetabular impingement following Pemberton’s osteotomy in the future.

show abstract

“…If not detected early and treated correctly, DDH leads to a high incidence of degenerative hip disease. The key to changing the natural course of DDH is early diagnosis and achieving stable concentric reduction as early as possible; this allows normal acetabular development to occur and prevents or minimizes late acetabular dysplasia (LACD).…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Arthrogram Predicts Residual Dysplasia after Successful Closed Reduction of DDH

Zhang

Yang

et al. 2016

Orthopaedic Surgery

Self Cite

View full text Add to dashboard Cite

show abstract

Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: A long‐term follow‐up

Abstract: To avoid early osteoarthritis, surgery correction of residual subluxation is recommended when the RI >38% at the age of 3-4 years or the RI >33% with the sourcil upward at the age of 4-5 years.

Cited by 16 publications

References 37 publications

Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia

Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia

Acetabular Dysplasia: a Modern View of the Problem (Literature Review)

Intraoperative Arthrogram Predicts Residual Dysplasia after Successful Closed Reduction of DDH

Contact Info

Product

Resources

About