Closed reduction in late-detected developmental dysplasia of the hip: indications, results and complications

Journal of Children's Orthopaedics
P WicartV Rampal

Abstract

The aim of the study was a review of the literature in order to evaluate the results and complications of closed reduction in late-detected developmental dysplasia of the hip (DDH). This study consisted of an analysis of the literature relative to late-detected DDH treatment options considering hip congruency, rates of re-dislocation and of avascular necrosis. Gradual closed reduction (Petit-Morel method) appears to be an effective method concerning joint congruency restitution. Dislocation relapse and avascular necrosis are more efficiently prevented with closed versus open reduction. The tendency for spontaneous correction of acetabular dysplasia decreases if closed reduction is performed after 18 months of age. Patient age at the beginning of traction should be considered for the prognosis, with a lower rate of satisfactory results showing after the age of 3 years. In our opinion, the Petit-Morel method is a suitable treatment option for children aged between six months and three years with idiopathic DDH.

References

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Jul 2, 2008·The Journal of Bone and Joint Surgery. British Volume·V RampalP Wicart

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Citations

Aug 30, 2018·Journal of Children's Orthopaedics·T Terjesen
Jun 29, 2021·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Pasquale FarsettiErnesto Ippolito
Oct 27, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Matthieu MazaleyratThierry Odent

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Methods Mentioned

BETA
total hip arthroplasty

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