Long-term follow-up of DDH patients who underwent open reduction without a postoperative cast

被引：15

作者：

Szepesi, Kalman ^{[1
]}

Szuecs, Gabriella ^{[2
]}

Szeverenyi, Csenge ^{[1
]}

Csernatony, Zoltan ^{[1
]}

机构：

[1] Univ Debrecen, Med & Hlth Sci Ctr, Dept Orthopaed Surg, H-4032 Debrecen, Hungary

[2] Univ Debrecen, Med & Hlth Sci Ctr, Dept Anaesthesiol & Intens Care, H-4032 Debrecen, Hungary

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2013年 / 22卷 / 02期

关键词：

developmental dislocation of the hip; early open reduction; long-term follow-up; no casting; no concomitant surgery; SALTER INNOMINATE OSTEOTOMY; CONGENITAL DISLOCATION; DEVELOPMENTAL DISLOCATION; PAVLIK HARNESS; ACETABULAR DEVELOPMENT; CLOSED REDUCTION; HIP DISLOCATION; SURGICAL-TREATMENT; ANTERIOR APPROACH; MEDIAL APPROACH;

D O I：

10.1097/BPB.0b013e32835b7c98

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We present the results - assessed after bony maturation - of an early anterior approach open reduction performed using our modified technique on 49 hips at 6-24 months of age. We start postoperative functional treatment using a Pavlik harness and an abduction splint, abandoning plaster cast. Secondary surgeries were performed in 11 hips (22.4%) at 3-7 years of age. Our results were 'satisfactory' (Severin Grade I, II) in 96% of the cases. According to the joints' Severin Grade, the total hip replacement probability at an early age is 8.16% in our series. Our principles and practice, introduced in 1980 in terms of secondary surgeries, are in total harmony with the recent literature. J Pediatr Orthop B 22:85-90 (c) 2013 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

引用

页码：85 / 90

页数：6

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