The Safety and Efficacy of a Transarticular Pin for Maintaining Reduction in Patients With Developmental Dislocation of the Hip Undergoing an Open Reduction

Castañeda, Pablo; Tejerina, Pablo; Nualart, Luis; Cassís, Nelson

doi:10.1097/bpo.0000000000000284

Cited by 12 publications

(8 citation statements)

References 40 publications

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“…There are publications reporting that transarticular pin application in order to maintain hip stability after reduction decreases redislocation rates and does not lead to an increase in the rate of complications such as infection (20). In cases where primary concentric reduction is achieved according to the rules and capsulorrhaphy is accurately performed, a permanent, stable reduction can be achieved if the anteversion relationship between the acetabulum and the femoral head is normal.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of late redislocation in patients who underwent open reduction and pelvic osteotomy as treament for developmental dysplasia of the hip

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Evaluation of late redislocation in patients who underwent open reduction and pelvic osteotomy as treament for developmental dysplasia of the hip

et al. 2017

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“…The Shriners groups in Mexico have reported the routine use of TAP after open surgery for DDH. 28 They reviewed 645 hips (578 children), 621 with TAP, and 24 without TAP. Redislocation was seen in 27 hips out of 621 (4.1%) at a mean interval of 62.2 days and three out of 24 in the non-TAP group (12.5%) at a mean interval of 58.7 days.…”

Section: Discussionmentioning

confidence: 99%

Risk factors for early redislocation after primary treatment of developmental dysplasia of the hip

Bhaskar

Desai

Jain

2016

IJOO

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Background:Re-dislocation after primary treatment of developmental dysplasia of the hip is a serious complication. We analyzed the various risk factors that contribute to re-dislocation, and whether the bony ossific nucleus (ON) confers increased stability against re-dislocation.Materials and Methods:Fifty-five children (60 hips) were classified into three treatment groups: Closed reduction (CR) in 15 children (17 hips), open reduction (OR) in 26 children (28 hips), and OR with bony surgery (ORB) in 14 children (15 hips). The mean age at initial treatment was 16 months (range 6–36 months). Fifty-one hips and 9 hips were Tonnis Grade 4 and 3, respectively. The mean preoperative acetabular index (AI) was 44.82° (range 32°–56°) for the study group. At initial treatment, bony ON was absent in 8 hips and present in 52 hips.Results:No hip developed stiffness and pain after primary treatment. Although the AI index, Tonnis grade, and absence of ossific nucleus were higher in the re-dislocated groups, this was not statistically significant. Excluding the re-dislocations, four children had a fair outcome, 11 had good outcome, and 36 had excellent outcome as per McKay's criteria. In the CR group (17 hips), two children (2 hips) with absent ON had re-dislocation. In the OR group (28 hips), three re-dislocations were seen (three children) at 3, 5, and 7 months, respectively. Two of these had an absent bony ON. In the ORB group (15 hips), one late sub-luxation occurred in a child with absent ON. The mean preoperative AI for the re-dislocated and located group was 44.66° (range 42°–48°) and 44.53° (range 39°–56°), respectively. The postoperative AI was 34.53.Conclusion:The experience of the treating surgeon and technical factors play an overwhelming role in preventing early dislocation. The absence of ON should perhaps alert the surgeon for enhanced spica care, postoperative splinting, and meticulous intra-operative management.

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“…The medial approach has less blood loss and a more cosmetic scar, but a higher risk of neurovascular traction injury. Stability of the reduced femoral head may be supplemented by using the ligamentum teres to tether of the femoral head to the acetabulum (Wenger, Mubarak, Henderson, & Miyanji, ) or by temporarily pinning across the femoral‐acetabular joint (Castaneda, Tejerina, Nualart, & Cassis, ). Spica cast immobilization for 6 weeks is imperative.…”

Section: Hip Dislocations and Contracturesmentioning

confidence: 99%

Treatment and outcomes of arthrogryposis in the lower extremity

Hamdy

Bosse

Altıok

et al. 2019

American J of Med Genetics Pt C

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In this multiauthored article, the management of lower limb deformities in children with arthrogryposis (specifically Amyoplasia) is discussed. Separate sections address various hip, knee, foot, and ankle issues as well as orthotic treatment and functional outcomes. The importance of very early and aggressive management of these deformities in the form of intensive physiotherapy (with its various modalities) and bracing is emphasized. Surgical techniques commonly used in the management of these conditions are outlined. The central role of a multidisciplinary approach involving all stakeholders, especially the families, is also discussed. Furthermore, the key role of functional outcome tools, specifically patient reported outcomes, in the continuous monitoring and evaluation of these deformities is addressed. Children with arthrogryposis present multiple problems that necessitate a multidisciplinary approach. Specific guidelines are necessary in order to inform patients, families, and health care givers on the best approach to address these complex conditions

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The Safety and Efficacy of a Transarticular Pin for Maintaining Reduction in Patients With Developmental Dislocation of the Hip Undergoing an Open Reduction

Abstract: Level IV--therapeutic.

Cited by 12 publications

References 40 publications

Evaluation of late redislocation in patients who underwent open reduction and pelvic osteotomy as treament for developmental dysplasia of the hip

Evaluation of late redislocation in patients who underwent open reduction and pelvic osteotomy as treament for developmental dysplasia of the hip

Risk factors for early redislocation after primary treatment of developmental dysplasia of the hip

Treatment and outcomes of arthrogryposis in the lower extremity

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