Should we try closed reduction and casting treatment first for cases with developmental dysplasia of the hip beyond 18 months of age?

Şafak Sayar; Necdet Demir; Özcan Kaya; Hasan Ceylan; Cengiz Şen

Makale detayları

Should we try closed reduction and casting treatment first for cases with developmental dysplasia of the hip beyond 18 months of age?

Yazarlar:

Şafak Sayar | Necdet Demir | Özcan Kaya | Hasan Ceylan | Cengiz Şen

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Orthopaedics

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 1, pp.20-25

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001344479

pISSN:

1309-4483

Anahtar kelimeler:

Özet:

 This study aims to evaluate the clinical and radiological outcomes of closed reduction and casting in patients older than 18 months with developmental dysplasia of hip DDH and to assess the success of this technique. We retrospectively analyzed medical records of DDH patients treated between March 2011 and June 2014. A total of 20 hips from 13 patients 2 boys, 11 girls aged 18 months or older were included. Among them, 4 had right unilateral involvement, 2 had left unilateral involvement, and 7 had bilateral involvement. The mean age at treatment initiation was 19.4 months. Radiographic evaluations included the acetabular index AI using the Hilgenreiner method, Wibergs center-edge CE angle, acetabular angle AA, and femoral neck-shaft angle. Hips were classified as normal, slightly dysplastic, or severely dysplastic based on Tönnis acetabular index table. Stable reduction was achieved in 12 hips 60 of 8 patients with closed reduction and casting. However, 8 hips 40 of 5 patients required acetabular osteotomy due to persistent dysplasia. Our findings suggest that closed reduction and hip spica casting should be considered for DDH in patients older than 18 months based on radiographic outcomes. However, our study is limited by a short follow-up period and a relatively small sample size. Further studies with larger cohorts and long-term follow-ups are necessary for more definitive conclusions.

 This study aims to evaluate the clinical and radiological outcomes of closed reduction and casting in patients older than 18 months with developmental dysplasia of hip DDH and to assess the success of this technique. We retrospectively analyzed medical records of DDH patients treated between March 2011 and June 2014. A total of 20 hips from 13 patients 2 boys, 11 girls aged 18 months or older were included. Among them, 4 had right unilateral involvement, 2 had left unilateral involvement, and 7 had bilateral involvement. The mean age at treatment initiation was 19.4 months. Radiographic evaluations included the acetabular index AI using the Hilgenreiner method, Wibergs center-edge CE angle, acetabular angle AA, and femoral neck-shaft angle. Hips were classified as normal, slightly dysplastic, or severely dysplastic based on Tönnis acetabular index table. Stable reduction was achieved in 12 hips 60 of 8 patients with closed reduction and casting. However, 8 hips 40 of 5 patients required acetabular osteotomy due to persistent dysplasia. Our findings suggest that closed reduction and hip spica casting should be considered for DDH in patients older than 18 months based on radiographic outcomes. However, our study is limited by a short follow-up period and a relatively small sample size. Further studies with larger cohorts and long-term follow-ups are necessary for more definitive conclusions.

 This study aims to evaluate the clinical and radiological outcomes of closed reduction and casting in patients older than 18 months with developmental dysplasia of hip DDH and to assess the success of this technique. We retrospectively analyzed medical records of DDH patients treated between March 2011 and June 2014. A total of 20 hips from 13 patients 2 boys, 11 girls aged 18 months or older were included. Among them, 4 had right unilateral involvement, 2 had left unilateral involvement, and 7 had bilateral involvement. The mean age at treatment initiation was 19.4 months. Radiographic evaluations included the acetabular index AI using the Hilgenreiner method, Wibergs center-edge CE angle, acetabular angle AA, and femoral neck-shaft angle. Hips were classified as normal, slightly dysplastic, or severely dysplastic based on Tönnis acetabular index table. Stable reduction was achieved in 12 hips 60 of 8 patients with closed reduction and casting. However, 8 hips 40 of 5 patients required acetabular osteotomy due to persistent dysplasia. Our findings suggest that closed reduction and hip spica casting should be considered for DDH in patients older than 18 months based on radiographic outcomes. However, our study is limited by a short follow-up period and a relatively small sample size. Further studies with larger cohorts and long-term follow-ups are necessary for more definitive conclusions.

 This study aims to evaluate the clinical and radiological outcomes of closed reduction and casting in patients older than 18 months with developmental dysplasia of hip DDH and to assess the success of this technique. We retrospectively analyzed medical records of DDH patients treated between March 2011 and June 2014. A total of 20 hips from 13 patients 2 boys, 11 girls aged 18 months or older were included. Among them, 4 had right unilateral involvement, 2 had left unilateral involvement, and 7 had bilateral involvement. The mean age at treatment initiation was 19.4 months. Radiographic evaluations included the acetabular index AI using the Hilgenreiner method, Wibergs center-edge CE angle, acetabular angle AA, and femoral neck-shaft angle. Hips were classified as normal, slightly dysplastic, or severely dysplastic based on Tönnis acetabular index table. Stable reduction was achieved in 12 hips 60 of 8 patients with closed reduction and casting. However, 8 hips 40 of 5 patients required acetabular osteotomy due to persistent dysplasia. Our findings suggest that closed reduction and hip spica casting should be considered for DDH in patients older than 18 months based on radiographic outcomes. However, our study is limited by a short follow-up period and a relatively small sample size. Further studies with larger cohorts and long-term follow-ups are necessary for more definitive conclusions.

Makale detayları

Should we try closed reduction and casting treatment first for cases with developmental dysplasia of the hip beyond 18 months of age?

Yazarlar:

Şafak Sayar | Necdet Demir | Özcan Kaya | Hasan Ceylan | Cengiz Şen

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Orthopaedics

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 1, pp.20-25

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001344479

pISSN:

1309-4483

Developmental dysplasia of the hip

closed reduction

hip spica cast

Sayı

Makale detayları

Should we try closed reduction and casting treatment first for cases with developmental dysplasia of the hip beyond 18 months of age?

Yazarlar: Şafak Sayar | Necdet Demir | Özcan Kaya | Hasan Ceylan | Cengiz Şen

Yayıncı: Ondokuz Mayıs University

Ana Başlıklar: Orthopaedics

Dergi: Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 1, pp.20-25

Belge Tipi: Makale

Yayın Tarihi: 3/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001344479

pISSN: 1309-4483

Developmental dysplasia of the hip

closed reduction

hip spica cast

Sayı

Yazarlar:

Şafak Sayar | Necdet Demir | Özcan Kaya | Hasan Ceylan | Cengiz Şen

Yayıncı:

Ondokuz Mayıs University

Ana Başlıklar:

Orthopaedics

Dergi:

Deneysel ve Klinik Tıp Dergisi Vol.42 Issue 1, pp.20-25

Belge Tipi:

Makale

Yayın Tarihi:

3/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001344479

pISSN:

1309-4483