Management of Irreducible Hip Dislocations in Infants With Developmental Dysplasia of the Hip Diagnosed Below 6 Months of Age

Journal of Pediatric Orthopedics
Alex AarvoldIHDI Study Group

Abstract

Infants with dislocated irreducible (D/I) hips can be substantially harder to treat than infants with dislocated but reducible hips. The purpose of this study was to compare treatment methods and outcomes for infants with D/I hips in order to optimize management of this difficult patient cohort. A multicenter prospective hip dysplasia study database was analyzed from 2010 to 2016. Infants aged below 6 months with clinically and radiologically confirmed D/I hips were included in the study. Teratological hips (syndromic/neuromuscular) were excluded. In total, 59 hips in 52 patients were included. All hips were clinically Ortolani negative and radiologically dislocated but irreducible on presentation and had at least 20 months of follow-up. Mean age at diagnosis was 1.9 months (range, 0.1 to 5.9 mo). There were 33 left hips, 12 right hips, and 14 bilateral hips (7 patients). In total, 48 of 59 hips were treated in Pavlik harness. The remainder were treated by alternative braces or primary closed or open reductions. Pavlik treatment was successful in 27 of 48 hips. Pavlik treatment was abandoned in 21 D/I hips, 3 due to femoral nerve palsy and the remainder due to failure to achieve reduction. There was no statistical correlation b...Continue Reading

References

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Sep 30, 2014·Journal of Pediatric Orthopedics·Unni NarayananUNKNOWN International Hip Dysplasia Institute
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Jun 8, 2017·Epilepsia·Salvatore Striano, Pasquale Striano

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Citations

May 20, 2021·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Pınar Nercis KoşarDilek Gökharman
Aug 9, 2021·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Takuya OgawaDaisuke Takahashi

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Software Mentioned

Graphpad Prism
Pavlik
Excel

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