Developmental dysplasia of the hip

Sewell, Mathew D.; Rosendahl, Karen; Eastwood, Deborah M.

doi:10.1136/bmj.b4454

Cited by 121 publications

(85 citation statements)

References 128 publications

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“…At present, early diagnosis and treatment constitute the most important factors for the successful treatment of DDH. Fewer surgical interventions are performed in patients diagnosed at an early age and stage, with a higher number of successful results (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

“…Developmental dysplasia of the hip (DDH) is a general term for a spectrum that includes anatomical defects of the hip, varying from mild dysplastic changes to dislocations accompanying abnormal pathological findings, which can develop because of various prenatal, natal, or postnatal causes (1)(2)(3)(4). DDH is one of the most important childhood orthopedic pathologies and a health problem that may lead to a disability if it remains untreated or is diagnosed late (5,6).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effect of Age and Surgical Procedure on Clinical and Radiological Outcomes in Children with Developmental Dysplasia of the Hip: A Comparative Study

Yorgancigil¹,

Aslan²,

Demirci³

et al. 2016

JAREM

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of Age and Surgical Procedure on Clinical and Radiological Outcomes in Children with Developmental Dysplasia of the Hip: A Comparative Study

Yorgancigil¹,

Aslan²,

Demirci³

et al. 2016

JAREM

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“…5 In India, the incidence has been reported to be 1.0e9.2 per 1000 in various studies with the incidence being more in northern region. 6e8 95e98% of DDH cases are possibly reversible.…”

Section: Risk Factorsmentioning

confidence: 99%

Risk factors and diagnosis of developmental dysplasia of hip in children

Agarwal

Gupta

2012

Journal of Clinical Orthopaedics and Trauma

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“…DDH is the most common hip disorder in the pediatric population, with 1% to 3% of all newborns being diagnosed at birth [13,26]. However, the true incidence of DDH is difficult to quantify as a result of important variations in diagnostic criteria and ethnic and cultural differences [22,23]. The standard diagnosis procedure remains clinical examination of all newborns; however, not all patients can be diagnosed by this method.…”

Section: Introductionmentioning

confidence: 99%

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?

Mulpuri

Schaeffer

Kelley

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Little information exists concerning the variability of presentation and differences in treatment methods for developmental dysplasia of the hip (DDH) in children \ 18 months. The inherent advantages of prospective multicenter studies are well documented, but data from different centers may differ in terms of important variables such as patient demographics, diagnoses, and treatment or management decisions. The purpose of this study was to determine whether there is a difference in baseline data among the nine centers in five countries affiliated with the International Hip Dysplasia Institute to establish the need to consider the center as a key variable in multicenter studies. Questions/purposes (1) How do patient demographics differ across participating centers at presentation? (2) How do patient diagnoses (severity and laterality) differ across centers? (3) How do initial treatment approaches differ across participating centers? Methods A multicenter prospective hip dysplasia study database was analyzed from 2010 to April 2015. Patients younger than 6 months of age at diagnosis were included if at least one hip was completely dislocated, whereas patients between 6 and 18 months of age at diagnosis were included with any form of DDH. Participating centers (academic, urban, tertiary care hospitals) span five countries across three continents. Baseline data (patient demographics, diagnosis, swaddling history, baseline International Hip Dysplasia Institute classification, and initial treatment) were compared among all nine centers. A total of 496 patients were enrolled with site enrolment ranging from 10 to 117. The proportion of eligible patients who were enrolled and followed at the nine participating centers was 98%. Patient enrollment rates were similar across all sites, and data collection/completeness for relevant variables at initial presentation was comparable. 123 Clin Orthop Relat Res (2016) 474:1138-1145 DOI 10.1007/s11999-016-4746-y Clinical Orthopaedics and Related Research ® A Publication of The Association of Bone and Joint Surgeons®Results In total, 83% of all patients were female (410 of 496), and the median age at presentation was 2.2 months (range, 0-18 months). Breech presentation occurred more often in younger (\6 months) than in older (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) Conclusions With the lack of strong prognostic indicators for DDH identified to date, the center is an important variable to include as a potential predictor of treatment success or failure.

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Developmental dysplasia of the hip

Cited by 121 publications

References 128 publications

Effect of Age and Surgical Procedure on Clinical and Radiological Outcomes in Children with Developmental Dysplasia of the Hip: A Comparative Study

Effect of Age and Surgical Procedure on Clinical and Radiological Outcomes in Children with Developmental Dysplasia of the Hip: A Comparative Study

Risk factors and diagnosis of developmental dysplasia of hip in children

What Is the Impact of Center Variability in a Multicenter International Prospective Observational Study on Developmental Dysplasia of the Hip?

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