Comparison of Open Reduction Alone and Open Reduction Plus Pemberton Osteotomy Techniques in the Treatment of Developmental Hip Dysplasia at Walking Age

Yilar, Sinan; Toy, Serdar; Köse, Mehmet; Tuncer, Kutsi; Ezirmik, Naci; Aydın, Ali; Kaşalı, Kamber

doi:10.5152/eurasianjmed.2019.19052

Cited by 8 publications

(12 citation statements)

References 16 publications

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“…Compared with open reduction alone, open reduction combined with osteotomy has a lower risk of AVN. On the one hand, open reduction combined with pelvic osteotomy makes the hip more stable in a neutral position [17], while open reduction alone has a higher probability of additional surgical intervention [20,28]. Unsuccessful open reduction complicates subsequent surgical treatments [43,44].…”

Section: Discussionmentioning

confidence: 99%

“…After reading the full text of the remaining 61 studies, three reviews and four meta-analysis studies were excluded, 13 studies were excluded because of missing or fuzzy data, 4 studies with duplicate data were excluded, 15 studies with an age of reduction ≥3 years old were excluded, and 8 studies involving only one treatment method were excluded. Finally, 14 articles [15,17,[22][23][24][25][26][27][28][29][30][31][32][33] were included. The literature retrieval process is illustrated in Fig.…”

Section: Study Selectionmentioning

confidence: 99%

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Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis

Qiu

Chen²,

Sun³

et al. 2021

Journal of Pediatric Orthopaedics B

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The objective of this study was to evaluate the incidence of avascular necrosis (AVN) of the femoral head in children less than 3 years of age with developmental dysplasia of the hip (DDH) treated with closed reduction, open reduction alone and open reduction combined with osteotomy. We reviewed clinical trials from the PubMed, EMBASE and Cochrane Library databases (up to November 2020) that were related to closed reduction, open reduction alone and open reduction combined with osteotomy for the treatment of children under 3 years of age with DDH. The screening and quality evaluation of the literature were performed independently by two researchers. In case of disagreement, a third researcher resolved the discourse. Finally, the data were extracted, and the R software and GeMTC program package were used to conduct a network meta-analysis (NMA). The evaluation index was the incidence of AVN. Fourteen articles were included. The NMA showed that in terms of the incidence of AVN, cases treated with open reduction alone were higher than those with closed reduction, and the difference was statistically significant. Open reduction alone had the highest probability (94.4%) of having the highest incidence of AVN, followed by open reduction combined with osteotomy (5.5%) and closed reduction (0.1%). In the treatment of children with DDH who are younger than 3 years old, open reduction alone is most likely to be the treatment with the highest incidence of AVN, followed by open reduction combined with osteotomy. The closed reduction had the smallest probability of AVN.

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Section: Discussionmentioning

confidence: 99%

Section: Study Selectionmentioning

confidence: 99%

Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis

Qiu

Chen²,

Sun³

et al. 2021

Journal of Pediatric Orthopaedics B

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“…GKD, asetabulum ile femur başı arasındaki normal ilişkinin bozulmasıdır 9 . GKD tanısı femur başı kemikleşme merkezinin asetabulumun merkezinde yer aldığı, fakat asetabulumun örtümünün yetersiz olduğu hipoplazik vakalardan kalçanın muayene ile çıkartılabildiği vakalara; femur başı ve asetabulum arasındaki normal ilişkinin tamamen bozulduğu, femur başının asetabulumun tamamen dışında yer aldığı tam kalça çıkıklarına kadar varan geniş bir yelpazeyi içermektedir 2,3 .…”

Section: Discussionunclassified

Incidental Incidence Study of Developmental Dysplasia of Hip in Eastern Anatolia Region

Gür¹,

Turgut²,

Köse³

et al. 2021

Kafkas J Med Sci

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“…open methods is generally sufficient to get reciprocal remodeling to achieve a stable and congruent hip. Past infancy, most surgeons agree that treatment with a pelvic osteotomy (PO), with or without a femoral osteotomy (FO), is indicated to ensure adequate femoral head coverage (18)(19)(20) .…”

Section: Until Infancy Concentric Reduction Of the Femoral Head Into ...mentioning

confidence: 99%

Spontaneous Correction of Extreme Degree Femur Ante –Version in Developmental Dysplasia of the Hip

Mohammed

2023

KJMS

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 Background: Developmental Dysplasia of the hip is common problem, both severe acetabular dysplasia and proximal femoral ante-version are the main pathology that should be managed as early as possible. Treatment of Developmental Dysplasia of the hip (DDH) should be commenced after delivery, during infancy and in very young children because maximum potential for development and remodeling of the acetabulum and proximal femur were encountered up to the age of 4 years. Surgical correction of idiopathic developmental dysplasia of the hip (DDH) is one of the most challenging problems in pediatric orthopedic surgery.

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Comparison of Open Reduction Alone and Open Reduction Plus Pemberton Osteotomy Techniques in the Treatment of Developmental Hip Dysplasia at Walking Age

Abstract: Aims and Scope Eurasian Journal of Medicine (Eurasian J Med) is an international, scientific, open access periodical published by independent, unbiased, and tripleblinded peer-review principles. The journal is the official publication of

Cited by 8 publications

References 16 publications

Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis

Avascular necrosis under different treatment in children with developmental dysplasia of the hip: a network meta-analysis

Incidental Incidence Study of Developmental Dysplasia of Hip in Eastern Anatolia Region

Spontaneous Correction of Extreme Degree Femur Ante –Version in Developmental Dysplasia of the Hip

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