Long-term follow-up of open reduction surgery for developmental dislocation of the hip

Journal of Pediatric Orthopedics
Joel HolmanJames W Roach

Abstract

We posed 2 questions: what is the long-term result of open reduction surgery in developmental dysplasia of the hip, and is there an age at surgery above which the outcome was too poor to recommend the operation? Between 1955 and 1995, 148 patients with 179 dislocated hips had open reduction surgery for developmental dysplasia of the hip (141 anterior and 38 Ludloff medial approaches). We attempted to locate all 148 patients for the follow-up evaluation. Fifty-three patients (36%) with 66 hips (37%) were located and participated in the study. These 66 hips represented 34% of the anterior open reductions and 47% of the Ludloff medial reductions. Twenty-two of the 66 hips had Severin IV or worse outcomes and included 7 with total hip arthroplasties and 2 with hip fusions. Age at surgery was significantly lower for Severin I, II, and III, compared with Severin IV and above (P=0.003, 0.001, 0.003) with outcomes deteriorating substantially after age 3. Approximately half of the hips required further surgery for dysplasia. All hips that sustained osseous necrosis had Severin IV or worse outcomes, and hips that redislocated and required revision surgery only achieved Severin I or II ratings 18% of the time. Nine "normal" hips became dy...Continue Reading

References

Aug 1, 1979·The Journal of Bone and Joint Surgery. British Volume·J H Wedge, M J Wasylenko
Nov 1, 1989·Journal of Pediatric Orthopedics·W P McCluskeyG D MacEwen
Sep 1, 1988·Journal of Pediatric Orthopedics·P KlisićV Basara
Jul 1, 1995·The Journal of Bone and Joint Surgery. American Volume·S B MurphyM E Müller
Oct 9, 2002·Journal of Pediatric Orthopedics. Part B·Jorge Chmielewski, Javier Albiñana
Nov 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Simon R ThomasRobert B Salter

❮ Previous
Next ❯

Citations

Jun 21, 2013·Archives of Orthopaedic and Trauma Surgery·Atilla CıtlakCelal Baki
Apr 12, 2014·Clinical Orthopaedics and Related Research·Ali AshrafDavid G Lewallen
Dec 3, 2014·Pediatric Clinics of North America·Richard M SchwendLee S Segal
Aug 1, 2015·Revista Brasileira De Ortopedia·Anastácio Kotzias NetoRafael Barreiros Hoffmann
Aug 11, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Robert F Murphy, Young-Jo Kim
Jul 25, 2019·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Susan J BackWudbhav N Sankar
Feb 24, 2015·Journal of Pediatric Orthopedics·Kristen L CarrollJames W Roach
Feb 20, 2015·The Journal of Bone and Joint Surgery. American Volume·Wudbhav N SankarJohn M Flynn
Feb 22, 2013·The Journal of Bone and Joint Surgery. American Volume·Harish S HosalkarDennis R Wenger
Sep 6, 2020·JBJS Reviews·Joseph R YoungVivek Dutt
Jul 6, 2016·Journal of Pediatric Orthopedics. Part B·Mehmet Emre BakiMurat Özcan
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

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.