Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip: a new method of treatment

The Bone & Joint Journal
K FukiageS Suzuki

Abstract

We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p = 0.018). This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods.

References

Jan 1, 1988·Journal of Pediatric Orthopedics·A Gregosiewicz, I Wośko
Dec 1, 1994·The Journal of Bone and Joint Surgery. American Volume·T A Malvitz, S L Weinstein
May 1, 1993·The Journal of Bone and Joint Surgery. British Volume·S Suzuki
Oct 23, 1997·The Journal of Bone and Joint Surgery. British Volume·N S BroughtonM O'Sullivan
Oct 31, 1997·Journal of Pediatric Orthopedics. Part B·H Wingstrand
Feb 7, 2003·The Journal of Bone and Joint Surgery. American Volume·Scott J LuhmannPerry L Schoenecker
Aug 28, 2004·The Journal of Bone and Joint Surgery. British Volume·J AlbinanaS L Weinstein
Feb 27, 2007·The Journal of Bone and Joint Surgery. British Volume·J NakamuraH Moriya
Jun 5, 2007·The Journal of Bone and Joint Surgery. American Volume·Nikolaos G PapadimitriouPerikles K Panagopoulos
Jul 2, 2008·The Journal of Bone and Joint Surgery. British Volume·V RampalP Wicart
Aug 5, 2009·The Journal of Bone and Joint Surgery. British Volume·J A van der SluijsB J van Royen
Jun 7, 2011·Clinical Orthopaedics and Related Research·Renata PospischillFranz Grill
Jun 12, 2012·International Orthopaedics·Michiel A J van de Sande, Frank Melisie
Jul 3, 2013·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Ikuo WadaAkifusa Wada

❮ Previous
Next ❯

Citations

Oct 21, 2016·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Mohammed A ZwawiCharles T Price

❮ 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.