scholarly journals Sequential one-stage combined procedure for treating bilateral developmental hip dysplasia after walking age

2019 ◽  
Vol 47 (7) ◽  
pp. 2901-2909
Author(s):  
Haibing Li ◽  
Wensong Ye ◽  
Lujie Xu ◽  
Li Li ◽  
Weiwei Zhu ◽  
...  
Keyword(s):  
Hip Dysplasia ◽  
Operative Time ◽  
Developmental Dysplasia ◽  
Developmental Hip Dysplasia ◽  
Combined Procedure ◽  
One Stage ◽  
Walking Age ◽  
The Mean ◽  
Two Sides ◽  
Dysplasia Of The Hip

Objective This study aimed to evaluate outcomes of the sequential one-stage combined procedure for treating bilateral developmental dysplasia of the hip (DDH) that was diagnosed after walking age. Methods Thirty-five patients (70 hips) with late-presenting bilateral DDH were treated with the sequential one-stage combined procedure. Hips were reclassified according to the operative time and divided into the first and the second operated hips. The outcomes were compared clinically and radiographically between the two sides preoperatively and postoperatively. Results The mean interval time between the two procedures was 5.9 months (range: 2–9 months). The first operated hip achieved better results than did the second operated hip. A total of 68.6% (24/35) of the patients in our series had an asymmetric outcome. Conclusions The sequential one-stage combined procedure is a challenge, but a reasonable alternative surgery for bilateral DDH in children after walking age. An asymmetric outcome is a special complication of this procedure.

scholarly journals Developmental hip dysplasia in adolescence

2009 ◽  
Vol 137 (7-8) ◽  
pp. 440-443 ◽  
Author(s):  
Zoran Vukasinovic ◽  
Zorica Zivkovic ◽  
Cedomir Vucetic
Keyword(s):  
Hip Dysplasia ◽  
Developmental Dysplasia ◽  
Pathological Findings ◽  
Leg Length ◽  
Treatment Results ◽  
Developmental Hip Dysplasia ◽  
Treatment Protocols ◽  
Management Modes ◽  
Dysplasia Of The Hip

The authors define adolescence and developmental dysplasia of the hip (DDH). Special attention is paid to pathological findings characteristic of DDH in adolescence (unrecognized and untreated DDH; treated DDH, but non-terminated treatment; DDH diagnosed with delay, inadequately treated, with complications). The authors emphasise that DDH treatment has to be successfully terminated well before the adolescence; possibilities are explained on management modes at the time of adolescence, and possible persons guilty for the persistence of later hip problems are indicated. Based on the authors' experience and having in mind all surgical possibilities for the treatment (pelvic osteotomies, femoral osteotomies, trochanteroplasties, leg length equalization procedures) the authors propose treatment protocols. The intention is to provide better treatment results and to prevent secondary hip arthrosis. Furthermore, how to improve the struggle against DDH is suggested.

scholarly journals Developmental dysplasia of the hip - clinical management and ultrasound screening

2001 ◽  
Vol 3 (10) ◽  
pp. 324-328
Author(s):  
P Marshall ◽  
S Wildon
Keyword(s):  
Hospital Care ◽  
Hip Dysplasia ◽  
Screening Programme ◽  
Developmental Dysplasia ◽  
Ultrasound Screening ◽  
National Guidelines ◽  
Developmental Hip Dysplasia ◽  
Clinical Screening ◽  
Health Visitors ◽  
Dysplasia Of The Hip

Although there is an agreed national protocol for the clinical screening of developmental hip dysplasia (DDH) there are no national guidelines for the use of ultrasound to detect this condition. The increased incidence of babies requiring surgery for this condition across the bay has led us to institute a selective screening programme in line with best clinical practice. This article describes care pathways in primary and hospital care in some detail and will therefore be of direct clinical relevance to the midwive , health visitors, general practitioners, physiotherapists, paediatricians, and orthopaedic surgeons involved in the management of babies at higher risk of DDH. We also outline the physiotherapy and orthopaedic management of children with this condition. Feedback or suggestions relating to the recently introduced screening programme would be welcomed.

The Evaluation of Hip Muscles in Patients Treated With One-stage Combined Procedure for Unilateral Developmental Dysplasia of the Hip: Part I: MRI Evaluation

2009 ◽  
Vol 29 (8) ◽  
pp. 872-878 ◽  
Author(s):  
Halil Yalçn Yüksel ◽  
Serdar Ylmaz ◽  
Ertuğrul Aksahin ◽  
Levent Çelebi ◽  
Semra Duran ◽  
...  
Keyword(s):  
Developmental Dysplasia ◽  
Combined Procedure ◽  
One Stage ◽  
Hip Muscles ◽  
Mri Evaluation ◽  
Dysplasia Of The Hip

scholarly journals The results of total arthroplasty for developmental dysplasia of the hip

TRAUMA ◽  
2021 ◽  
Vol 21 (6) ◽  
pp. 5-9
Author(s):  
A.I. Kanziuba ◽  
D.A. Yurchenko
Keyword(s):  
Hip Dysplasia ◽  
Developmental Dysplasia ◽  
Average Score ◽  
Successful Implementation ◽  
Main Task ◽  
Type I ◽  
Developmental Hip Dysplasia ◽  
Rehabilitation Treatment ◽  
Total Arthroplasty ◽  
Dysplasia Of The Hip

Background. In developmental dysplasia of the hip joint in adults, total arthroplasty is recognized as a non-alternative surgical intervention. In scientific and practical aspects, the main task of arthroplasty is the maximum restoration of musculoskeletal function or compensation of biomechanical disorders, as well as providing conditions for the long-term preservation of the stability of the implant. The purpose of this work is to investigate the factors that determine the results of total arthroplasty for developmental hip dysplasia in the middle follow-up period. Materials and methods. There were examined 84 patients who underwent total hip arthroplasty for developmental hip dysplasia during 2014–2019. The timing for evaluating the results was chosen based on the observations that a certain stable level of the achieved result is formed in the period from 1 to 3 years, depending on the severity of the anatomical disorders. Results. A total of 116 total arthroplasty operations were performed. Of these, there were dysplasia Crowe type I in 52 (44.8 %) cases, type II — in 34 (29.4 %), type III — in 26 (22.4 %), type IV — in 4 (3.4 %) cases. The concept of the study was to study the factors that influence the choice of surgical tactics, especially after surgical rehabilitation treatment and functional results in the medium term. Generalized results on the W. Harris scale are as follows: excellent (average score 92.3) — 39 (46.4 %), good (average score 86.6) — in 26 (30.9 %), satisfactory (average score 78.3) — in 15 (17.9 %), unsatisfactory (average score 67.4) — in 4 (4.8 %). The condition of the bone and soft tissues of the hip as well as the degree of anatomical abnormalities are critical for the successful implementation of arthroplasty. After arthroplasty for II and III types of dysplasia, limping, leg length discrepancy, and a feeling of muscle weakness are observed. They are caused by such factors as asymmetric hip rotation, violation of the femoral offset, scoliotic deformity of the lumbar spine. Conclusions. After arthroplasty for hip dysplasia, patients need more prolonged rehabilitation treatment and the results of arthroplasty are determined by the degree of compensation of anatomical and functional disorders achieved.

scholarly journals How are outcomes affected by performing a one-stage combined procedure simultaneously in bilateral developmental hip dysplasia?

2014 ◽  
Vol 38 (6) ◽  
pp. 1219-1224 ◽  
Author(s):  
Haluk Agus ◽  
Muhammet Bozoglan ◽  
Önder Kalenderer ◽  
Cemal Kazımoğlu ◽  
Burak Onvural ◽  
...  
Keyword(s):  
Hip Dysplasia ◽  
Developmental Hip Dysplasia ◽  
Combined Procedure ◽  
One Stage

scholarly journals The effect of femoral shortening in the treatment of developmental dysplasia of the hip after walking age

2019 ◽  
Vol 13 (4) ◽  
pp. 371-376
Author(s):  
P. Castañeda ◽  
L. Moscona ◽  
K. Masrouha
Keyword(s):  
Femoral Head ◽  
Developmental Dysplasia ◽  
Level Of Evidence ◽  
High Tension ◽  
Femoral Shortening ◽  
Data Collection Instrument ◽  
Hip Reduction ◽  
Walking Age ◽  
The Mean ◽  
Dysplasia Of The Hip

Purpose The optimal treatment for late-presenting developmental dysplasia of the hip (DDH) is controversial. High tension forces after hip reduction increase the pressure on the femoral head, potentially causing avascular necrosis. Femoral shortening (FS) is commonly used as a means to decrease the pressure on the femoral head. We examined the effect of FS on the outcomes of patients with late-presenting DDH. Methods A total of 645 hips of a late-presenting DDH cohort treated with open reduction and iliac osteotomies were retrospectively reviewed; 328 hips had a FS performed (FS+) and 317 (FS-) had not. The mean age was 3.9 years (sd 1.55). We classified the hips with the Tönnis and International Hip Dysplasia Institute (IHDI) methods; and the Pediatric Outcomes Data Collection Instrument (PODCI), Iowa Hip Score (IHS) and Severin classification as outcome measurements. Results The FS- group had higher scores in PODCI (median 95 points; interquartile range (IQR) 78 to 91) and IHS (median 91 points; IQR 64 to 88) than the FS+ group (PODCI: median 94 points; IQR 69 to 89 points; IHS: median 89 points; IQR 62 to 87). The mean Severin scores were similar (FS- 2.65; FS+ 2.5; p = 0.93) but the FS– group had higher rates of good and excellent outcomes (FS- 56%; FS+ 41%; p < 0.00001) and lesser dislocation rates (FS- 6%; FS+ 14%; p = 0.16). Conclusion Although FS should be used when a hip cannot be reduced without undue tension, our results indicate that this procedure is not necessarily related to a better outcome. Level of evidence: Therapeutic, Level III.

scholarly journals Surgical outcome of one-stage treatment of developmental dysplasia of the hip in children of walking age

2020 ◽  
Vol 6 (4) ◽  
pp. 934-938
Author(s):  
Dr . ◽  
Madhu Sudan Paul ◽  
Dr. Chowdhury Iqbal Mahmud ◽  
Dr. Khandker Nurul Arifeen ◽  
Dr. AZM Selimullah ◽  
...  
Keyword(s):  
Surgical Outcome ◽  
Developmental Dysplasia ◽  
One Stage ◽  
Walking Age ◽  
Dysplasia Of The Hip
Sign in / Sign up

Export Citation Format

Share Document