scholarly journals Treatment of Developmental Dysplasia of the Hip: Short and Mid-term Outcome in Alnoor Specialized Hospital

2018 ◽  
Vol 07 (04) ◽  
Author(s):  
Salem Jafar Bajuifer ◽  
Mohamed Hassan Shaalan ◽  
Ashraf Dawood
Keyword(s):  
Developmental Dysplasia ◽  
Term Outcome ◽  
Specialized Hospital ◽  
Dysplasia Of The Hip

scholarly journals Timing For Closed Reduction of Developmental Dysplasia of the Hip and Failure Analysis

2020 ◽  
Author(s):  
Zhiqiang Zhang ◽  
Hao Li ◽  
Hai Li ◽  
Ziming Zhang
Keyword(s):  
Risk Factors ◽  
Roc Curve ◽  
Closed Reduction ◽  
Age Groups ◽  
Developmental Dysplasia ◽  
Operating Characteristics ◽  
Roc Curve Analysis ◽  
Term Outcome ◽  
Group I ◽  
Dysplasia Of The Hip

Abstract BackgroundIt remains controversial whether the older age at closed reduction (CR) of developmental dysplasia of the hip (DDH), the higher incidence of complications.The aim of this study is to evaluate theMid-term outcome of CR for DDHamongdifference age groups, and to analyze and identify risk factors for the failure of this procedure. Methods Clinical data of DDH patients, who received CR, were retrospectively reviewed. Hips were divided into three groups according to initial age (Group I: <12 months; Group II: 12 months to ≤18 months; Group III: >18 months). The presence of avascular necrosis (AVN),residual acetabular dysplasia (RAD), re-dislocation, further surgeries (FS)and failure of CR were observed. The risk factors were identified for those outcomes abovementioned. Receiver operating characteristics (ROC) curve analysis based on age, pre-op AI and post-op AI for failure was conducted.ResultsA total of 107 patients (156 hips) undergoing CR wereevaluated with a median age at initial reduction of 13.0 months(range, 4 to 28 mo). The incidence of AVN, RADand re-dislocationwas 15.4% (24/156), 17.3% (27/156) and 14.7% (23/156). For AVN, RAD and re-dislocation, the risk factors were pre-op IHDI IV(p=0.033), age≥18 months (p=0.012), and pre-op IHDI IV and walking (p=0.004 and p=0.011), respectively. The areas under the ROC curve of failure were 0.841 (post-op AI), 0.688 (pre-op AI)and 0.650 (age).ConclusionsRAD is a complication that must be carefully considered for severepatients older than 18 months before CR. Re-dislocation is associated with pre-op IHDI IV and walking.Patients, who are older than 12.5 months or have a pre-op AI of 38.7° or a post-op AI of 26.4°, are more likely fail of CR.

Long-term Outcome of Gradual Reduction Using Overhead Traction for Developmental Dysplasia of the Hip Over 6 Months of Age

2013 ◽  
Vol 33 (6) ◽  
pp. 628-634 ◽  
Author(s):  
Hiroshi Kaneko ◽  
Hiroshi Kitoh ◽  
Kenichi Mishima ◽  
Masaki Matsushita ◽  
Naoki Ishiguro
Keyword(s):  
Developmental Dysplasia ◽  
Gradual Reduction ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dysplasia Of The Hip

scholarly journals Long-term outcome following medial open reduction in developmental dysplasia of the hip: a retrospective cohort study

2016 ◽  
Vol 10 (3) ◽  
pp. 179-184 ◽  
Author(s):  
Richard O. E. Gardner ◽  
Catharine S. Bradley ◽  
Om P. Sharma ◽  
Lin Feng ◽  
Michelle EyunJung Shin ◽  
...  
Keyword(s):  
Cohort Study ◽  
Retrospective Cohort Study ◽  
Open Reduction ◽  
Retrospective Cohort ◽  
Developmental Dysplasia ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Medial Open Reduction ◽  
Dysplasia Of The Hip

Mid- and long-term outcome of Salter’s, Pemberton’s and Dega’s osteotomy for treatment of developmental dysplasia of the hip: a systematic review and meta-analysis

2020 ◽  
pp. 112070002094286
Author(s):  
Sophie R Merckaert ◽  
Pierre-Yves Zambelli ◽  
Shannon N Edd ◽  
Starnoni Daniele ◽  
Jolles Brigitte
Keyword(s):  
Systematic Review ◽  
Initial Treatment ◽  
Meta Analysis ◽  
Developmental Dysplasia ◽  
Unfavourable Outcome ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Dysplasia Of The Hip

Introduction: Early diagnosis and early treatment have become the gold standard for management of developmental dysplasia of the hip. Surgery is required in case of failed initial treatment. Innominate pelvic osteotomy of Salter (SIO), Pemberton’s pericapsular osteotomy (PPO) and Dega’s acetabuloplasty (DA) are among the most used procedures. We performed a systematic review and meta-analysis of the past 57 years in order to assess the mid- and long-term outcome of these techniques. Methods: Studies met inclusion criteria if they: (1) reported at least 5 cases treated by 1 of the abovementioned surgical techniques; (2) included children aged between 1 and 8 years; (3) surgical indication was late detected DDH or a failed initial treatment; (4) presented a minimal follow-up of 24 months; (5) reported the radiological score of Severin and/or the clinical score of McKay. Clinical and radiological outcomes were dichotomised into favourable and unfavourable outcome and weighted summary rates were determined using meta-analysis models. Results: From a total of 7391 articles, 48 level of evidence grade IV articles were included in our review. A total of 2143 cases with a mean follow up of 112.4 months were included. Pooled Severin score indicated a statistically better outcome for PPO and DA compared to SIO ( p = 0.0003 and p = 0.002, respectively). By dichotomising the results in favourable and unfavourable outcome, PPO showed the best results ( p = 0.0002 vs. SIO, p = 0.01 vs. DA). Pooled McKay score showed a statistically better outcome for PPO and DA compared to SIO ( p < 0.0001 and p = 0.03, respectively) as well as better outcomes for PPO compared to DA ( p = 0.01). By dichotomising the results in favourable and unfavourable, PPO showed the best results. Conclusions: Even if our review demonstrates slightly better radiological and clinical results with the PPO, the currently available and limited data do not allow for clear recommendation towards one of these techniques.

scholarly journals Timing for Closed Reduction of Developmental Dysplasia of the Hip and Failure Analysis

2020 ◽  
Author(s):  
Zhiqiang Zhang ◽  
Hao Li ◽  
Hai Li ◽  
Ziming Zhang
Keyword(s):  
Risk Factors ◽  
Roc Curve ◽  
Closed Reduction ◽  
Age Groups ◽  
Developmental Dysplasia ◽  
Operating Characteristics ◽  
Roc Curve Analysis ◽  
Term Outcome ◽  
Group I ◽  
Dysplasia Of The Hip

Abstract Background It remains controversial whether the older age at closed reduction (CR) of developmental dysplasia of the hip (DDH), the higher incidence of complications. The aim of this study is to evaluate the Mid-term outcome of CR for DDH among difference age groups, and to analyze and identify risk factors for the failure of this procedure. Methods Clinical data of DDH patients, who received CR, were retrospectively reviewed. Hips were divided into three groups according to initial age (Group I: <12 months; Group II: 12 months to ≤18 months; Group III: >18 months). The presence of avascular necrosis (AVN), residual acetabular dysplasia (RAD), re-dislocation, further surgeries (FS) and failure of CR were observed. The risk factors were identified for those outcomes abovementioned. Receiver operating characteristics (ROC) curve analysis based on age, pre-op AI and post-op AI for failure was conducted.Results A total of 107 patients (156 hips) undergoing CR were evaluated with a median age at initial reduction of 13.0 months (range, 4 to 28 mo). Mean follow-up time in this study was 6.7 years (range, 3-8 years). The incidence of AVN, RAD and re-dislocation was 15.4% (24/156), 17.3% (27/156) and 14.7% (23/156). For AVN, RAD and re-dislocation, the risk factors were pre-op IHDI IV (p=0.033), age≥18 months (p=0.012), and pre-op IHDI IV and walking (p=0.004 and p=0.011), respectively. The areas under the ROC curve of failure were 0.841 (post-op AI), 0.688 (pre-op AI) and 0.650 (age).Conclusions RAD is a complication that must be carefully considered for severe patients older than 18 months before CR. Re-dislocation is associated with pre-op IHDI IV and walking. Patients, who are older than 12.5 months or have a pre-op AI of 38.7° or a post-op AI of 26.4°, are more likely fail of CR.

Sign in / Sign up

Export Citation Format

Share Document