Mid-term Follow-Up after Closed Reduction in Developmental Dysplastic Hips

Walter, Sebastian G., Ossendorff, Robert ORCID: 0000-0002-6636-8065, Bornemann, Rahel, Zarghooni, Kourosh, Peterlein, Christian Dominik and Placzek, Richard . Mid-term Follow-Up after Closed Reduction in Developmental Dysplastic Hips. Z. Orthop. Unfallchir.. NEW YORK: THIEME MEDICAL PUBL INC. ISSN 1864-6743

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DOI:10.1055/a-1865-0091

Abstract

Purpose Closed reduction and subsequent spica casting is the gold standard for treatment of unstable or dislocated developmental dysplastic hips (DDHs). There are few data on mid-term results after treatment of DDH, especially on closed reduction. Methods Thirty-one consecutive patients with unstable or dislocated hips (n = 36) that were treated by fluoroscopic, contrast agent-supported closed reduction and spica casting were included and evaluated clinically and radiologically 2 and 5 years after treatment. Results After 2 and 5 years, there were no significant differences between healthy and successfully treated hips that were detectable with respect to acetabular coverage (AC) angle, center-edge angle, and clinical stability of the hip. There was a significant difference at the 2-year follow-up between healthy hips and hips that needed to undergo secondary open reduction surgery (n = 4) with respect to the AC angle (p < 0.001). Conclusion Closed reduction in DDHs results in acceptable clinical and radiological results in the mid-term follow-up. It remains unclear why some patients with subsequent sonographically matured hips show secondary deterioration and recurrence of dysplasia.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
Walter, Sebastian G.	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Ossendorff, Robert	UNSPECIFIED	orcid.org/0000-0002-6636-8065	UNSPECIFIED
Bornemann, Rahel	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Zarghooni, Kourosh	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Peterlein, Christian Dominik	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Placzek, Richard	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED