Evaluation of Acetabular Development Following Open Reduction of Developmental Dysplasia of Hip in Children After Walking Age

2021 ◽  
Author(s):  
Sandeep Patwardhan ◽  
Arkesh Madegowda ◽  
Parag Sancheti
Keyword(s):  
Open Reduction ◽  
Developmental Dysplasia ◽  
Developmental Dysplasia Of Hip ◽  
Walking Age

scholarly journals EVALUATION OF AVASCULAR NECROSIS DURING MIDTERM FOLLOW UP IN DDH CASES TREATED BY SINGLE STAGE SURGERY IN THE WALKING AGE GROUP

2021 ◽  
pp. 6005-6010
Keyword(s):  
Femoral Head ◽  
Surgical Procedures ◽  
Open Reduction ◽  
Soft Tissues ◽  
Developmental Dysplasia ◽  
Single Stage ◽  
Age Group ◽  
Developmental Dysplasia Of Hip ◽  
Walking Age

Developmental dysplasia of hip (DDH) represents a spectrum of disorders in which the femoral head has an abnormal relationship to the acetabulum. Management of DDH presenting in walking stage are primarily surgical because of changes in femoral head, acetabulum and soft tissues around joint. We looked at the incidence of AVN during midterm follow up period in DDH patients in the walking age group who had undergone single stage surgery. Also it evaluates association of different variables with occurrence of AVN. The AVN of head of femur is assessed according to Kalamchi and MacEwen’s classification and AVN gradings were compared with different surgical procedures. In our study, higher incidence of AVN was seen patients who were operated at a higher age, who had higher preoperative Tonnis grading and those who required osteotomies with open reduction. But statistically significant correlation could not be established independently with any of the above mentioned variables.

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

2020 ◽  
Author(s):  
Fahad AlShayhan ◽  
Abdulmonem Alsiddiky ◽  
Raghad Barri
Keyword(s):  
Closed Reduction ◽  
Open Reduction ◽  
Medical Center ◽  
Developmental Dysplasia ◽  
First Year ◽  
Developmental Dysplasia Of Hip ◽  
Class 1 ◽  
One Year ◽  
Skin Traction

Abstract 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.

Results of medial open reduction of developmental dysplasia of the hip with regard to walking age

2013 ◽  
Vol 22 (1) ◽  
pp. 36-41 ◽  
Author(s):  
Murat Altay ◽  
Ismail Demirkale ◽  
Ferhat Senturk ◽  
Ahmet Firat ◽  
Safa Kapicioglu
Keyword(s):  
Open Reduction ◽  
Developmental Dysplasia ◽  
Walking Age ◽  
Medial Open Reduction ◽  
Dysplasia Of The Hip

scholarly journals Predicting acetabular growth in developmental dysplasia of the hip following open reduction after walking age

2019 ◽  
Vol 24 (2) ◽  
pp. 326-331 ◽  
Author(s):  
Takamasa Miyake ◽  
Tomonori Tetsunaga ◽  
Hirosuke Endo ◽  
Kazuki Yamada ◽  
Tomoaki Sanki ◽  
...  
Keyword(s):  
Open Reduction ◽  
Developmental Dysplasia ◽  
Walking Age ◽  
Dysplasia Of The Hip

scholarly journals Single-Stage Combined Surgery for Treating Neglected Bilateral Developmental Hip Dysplasia after Walking Age

Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Abdul Latif Shahid ◽  
Islam Hussain ◽  
Farhad Alam ◽  
Muhammad Nazir Awan ◽  
Hana Khurshid ◽  
...  
Keyword(s):  
Scoring System ◽  
Hip Dysplasia ◽  
Developmental Dysplasia ◽  
Single Stage ◽  
Anterolateral Approach ◽  
Combined Surgery ◽  
Developmental Hip Dysplasia ◽  
Developmental Dysplasia Of Hip ◽  
Walking Age ◽  
Grade Ii

Objectives: To determine outcome in Single Stage Surgery of Both Hips in Bilateral Developmental Dysplasia of Hip in Children after walking age. Methods: This was a retrospective review of 20 hips in 10 patients (7 females and 3 males), operated at the children's hospital and the institute of child health, Lahore between 2014 and 2016. The age of patients was between 2 and 5 years. There were 10 hips in grade IV, 6 in grade III and 4 in grade II according to Tonnis classification. Both hips were operated in single stage. Open reduction of hip joint was done by anterolateral approach in all children. Salter osteotomy was done in every child while femoral shortening was needed in 10 hips. Outcome of single stage surgery was assessed by radiological assessment of Severin's scoring system and functional assessment of MacKay's scoring system at final followup after 2 years of suegery. Results: There was no effect of age, gender, malnutrition, body mass index on outcome. According to Severin's scoring system, 14 hips (70%) were in grade I while 6 (30%) in grade II. Outcome was excellent in 6 hips (30%), good in 13 (60%) and fair in 1 (5%) by applying MacKay's scoring system. Hip spica of one child was changed after one month due to wetting with urine. There was no hip dislocation or subluxation in any case. Conclusion: Single stage surgery of both hips can be done safely in bilateral developmental dysplasia of hip by anterolateral approach in late presented children. Key Words: Developmental dysplasia of hip, Single stage surgery. How to Cite: Latif A.S, Hussain I, Alam F, Nazir M. A, Khurshid H., B. Zulqernain. Single-stage combined surgery for treating neglected bilateral developmental hip dysplasia after walking age. Esculapio.2020;16(04):70-73.

scholarly journals Prediction of the requirement of open reduction for developmental dysplasia of the hip

2017 ◽  
Vol 46 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Nabil Alassaf
Keyword(s):  
Open Reduction ◽  
Area Under The Curve ◽  
Internal Validity ◽  
Developmental Dysplasia ◽  
Estimation Model ◽  
Cross Sectional ◽  
Noninvasive Treatment ◽  
Dysplasia Of The Hip ◽  
Logistic Regression Equation ◽  
Objective Tool

Objective Closed reduction (CR) is a noninvasive treatment for developmental dysplasia of the hip (DDH), and this treatment is confirmed intraoperatively. This study aimed to develop a preoperative estimation model of the probability of requiring open reduction (OR) for DDH. Methods The study design was cross-sectional by screening all patients younger than 2 years who had attempted CR between October 2012 and July 2016 by a single surgeon. Potential diagnostic determinants were sex, age, side, bilaterality, International Hip Dysplasia Institute (IHDI) grade, and acetabular index (AI). An intraoperative arthrogram was the reference standard. A logistic regression equation was built from a reduced model. Bootstrapping was performed for internal validity. Results A total of 164 hips in 104 patients who met the inclusion criteria were analysed. The prevalence of CR was 72.2%. Independent factors for OR were older age, higher IHDI grade, and lower AI. The probability of OR = 1/[1 + exp − (−2.753 + 0.112 × age (months) + 1.965 × IHDI grade III (0 or 1) + 3.515 × IHDI grade IV (0 or 1) − 0.058 × AI (degrees)]. The area under the curve was 0.79. Conclusion This equation is an objective tool that can be used to estimate the requirement for OR.

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