Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening

Wirth, T.; Stratmann, L.; Hinrichs, F.

doi:10.1302/0301-620x.86b4.14586

Cited by 92 publications

(70 citation statements)

References 38 publications

(24 reference statements)

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“…The sex distribution in our newborn sample shows a significant predominance of girls with pathological hips, which is in agreement with the data given in the literature [9,22,23]. This is explained by greater susceptibility to the influence of maternal hormones which relax the ligaments.…”

Section: Discussionsupporting

confidence: 92%

Ultrasound screening for developmental dysplasia of the hip in the newborn: a population-based study in the Maribor region, 1997–2005

Treiber

Tomazic

Tekauc-Golob³

et al. 2008

Wien Klin Wochenschr

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Section: Discussionsupporting

confidence: 92%

Ultrasound screening for developmental dysplasia of the hip in the newborn: a population-based study in the Maribor region, 1997–2005

Treiber

Tomazic

Tekauc-Golob³

et al. 2008

Wien Klin Wochenschr

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“…The incidence of complete dislocation of the hip as the final step of developmental dysplasia of the hip (DDH) has decreased attributable mostly to early diagnosis and treatment [8,15,19,28,29,55,87]; however, cases of complete dislocation, requiring open reduction still occur.…”

Section: Introductionmentioning

confidence: 99%

Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup

Farsetti

Caterini

Potenza

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background During the last 35 years, the medial approach has been reported more frequently than the anterior approach for open reduction of developmental dislocation of the hip (DDH), however, few studies have followed children treated by medial open reduction to adulthood. Questions/purposes The purposes of our study were: (1) to assess the development of 71 completely dislocated hips after medial open reduction, the incidence of additional surgery and avascular necrosis during the followup period, and the long-term radiographic and functional results; and (2) to compare our results with those obtained by others who performed open reduction either by the medial or anterior approach. Patients and Methods We retrospectively evaluated, after the end of growth, 71 hips in 52 patients who underwent open reduction by the medial approach. The mean age of the patients was 16 months (range, 3-36 months). After surgery, the hips were immobilized in 100°flexion, 60°a bduction, and neutral rotation for an average of 6 months. All patients had staged clinical and radiographic followups until skeletal maturity. The length of followup averaged 22 years (range, 13-32 years). Results In all the surgically treated hips, the acetabular index normalized by the end of growth, the incidence of avascular necrosis was 18%, and additional surgery was required in 15% of our cases. At the last followup, 93% of the hips were classified as Severin Classes I or II and 7% as Class III; 76% of the hips had an excellent result, 17% had a good result, and 7% had a fair result according to the McKay scale as modified by Barrett and colleagues. Conclusions Open reduction of DDH through a medial approach provided good long-term radiographic and functional results in patients 3 to 36 months old and it was the only surgery performed in 85% of our cases. Future comparative studies are needed to confirm our results, especially in older children. Level of evidence Level IV, therapeutic study.

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“…The number of dislocated hips that are first detected when the child starts walking has gone down since the introduction of hip screening [1,2]. While most cases of hip dislocation can be easily treated in infancy using a retention therapy, such as a plaster cast or a Pavlik harness, more extensive measures are needed for children of walking age.…”

Section: Introductionmentioning

confidence: 99%

Arthroscopic reduction and acetabuloplasty for the treatment of dislocated hips in children of walking age: a preliminary report

Eberhardt

Wirth

Fernández

2014

Arch Orthop Trauma Surg

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We can conclude that the standardized arthroscopic surgical technique presented here can also be used to safely perform arthroscopic reduction in toddlers. The new arthroscopic method is an alternative to open reduction for selective hip dislocations. We believe this approach can be used to treat dislocated hips that are classified as grades 2 and 3 dislocations according Tönnis. Early results are promising. Medium-term results are needed to make a definitive statement on the rates of necrosis of the femoral head.

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Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening

Cited by 92 publications

References 38 publications

Ultrasound screening for developmental dysplasia of the hip in the newborn: a population-based study in the Maribor region, 1997–2005

Ultrasound screening for developmental dysplasia of the hip in the newborn: a population-based study in the Maribor region, 1997–2005

Developmental Dislocation of the Hip Successfully Treated by Preoperative Traction and Medial Open Reduction: A 22-year Mean Followup

Arthroscopic reduction and acetabuloplasty for the treatment of dislocated hips in children of walking age: a preliminary report

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