Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
Clinical Orthopaedics and Related Research®
Published in: Clinical Orthopaedics and Related Research® 4/2008

01-04-2008 | Symposium: Developmental Dysplasia of the Hip

Outcome in Unilateral or Bilateral DDH Treated with One-stage Combined Procedure

Authors: Mehmet Subasi, MD, Huseyin Arslan, MD, Oguz Cebesoy, MD, Orhan Buyukbebeci, MD, Ahmet Kapukaya, MD

Published in: Clinical Orthopaedics and Related Research® | Issue 4/2008

Login to get access

Abstract

The surgical treatment of patients with neglected developmental dysplasia of the hip (DDH) has been the subject of controversy. We asked if age affected outcome in patients with neglected DDH with unilateral or bilateral dislocation who underwent one-stage combined procedures. We retrospectively reviewed the results of 40 patients (51 hips) treated with a one-stage combined procedure consisting of open reduction, pelvic osteotomy, and femoral shortening. The average age at the time of surgery was 5.4 years for Group I (bilateral dislocation, 22 hips) and 6.7 years for Group II (unilateral dislocation, 29 hips). Mean followup was 5.4 years for Group I and 6.7 years for Group II. According to the modified score system of Trevor et al, 13 hips rated excellent, three were good, and six were fair in Group I; the ratings were 14, nine, and six hips respectively in Group II. Four patients had a limb-length discrepancy of approximately 1.5 cm in Group I. Twelve hips in Group I and 18 hips in Group II had osteonecrosis of varying severity. Our data suggest the outcomes of the children who were 5.5 years or younger in Group I and 8 years or younger in Group II were better.
Level of Evidence: Level IV, case series. See the Guidelines for Authors for a complete description of levels of evidence.
Literature
1.
Ashley RK, Larsen LJ, James PM. Reduction of dislocation of the hip in older children. A preliminary report. J Bone Joint Surg Am. 1972;54:545–550.PubMed
2.
Böhm P, Klinger HM, Küsswetter W. The Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in young adults. Arch Orthop Trauma Surg. 1999;119:186–189.PubMedCrossRef
3.
Browne RS. The management of late diagnosed congenital dislocation and subluxation of the hip-with special reference to femoral shortening. J Bone Joint Surg Br. 1979;61:7–12.PubMed
4.
Dimitriou JK, Cavadias AX. One-stage surgical procedure for congenital dislocation of the hip in older children. Long-term results. Clin Orthop Relat Res. 1989;246:30–38.PubMed
5.
Domzalski M, Synder M. Avascular necrosis after surgical treatment for development dysplasia of the hip. Int Orthop. 2004;28:65–68.PubMedCrossRef
6.
Forlin E, Munhoz da Cunha LA, Figueiredo DC. Treatment of developmental dysplasia of the hip after walking age with open reduction, femoral shortening, and acetabular osteotomy. Orthop Clin North Am. 2006;37:149–160.PubMedCrossRef
7.
Galpin RD, Roach JW, Wenger DR, Herring JA, Birch JG. One-stage treatment of congenital dislocation of the hip in older children, including femoral shortening. J Bone Joint Surg Am. 1989;71:734–741.PubMed
8.
Ganger R, Radler C, Petje G, Manner HM, Kriegs-Au G, Grill F. Treatment options for developmental dislocation of the hip after walking age. J Pediatr Orthop B. 2005;14:139–150.PubMed
9.
Gulman B, Tuncay IC, Dabak N, Karaismailoglu N. Salter’s innominate osteotomy in the treatment of congenital hip dislocation. A Long-Term Review. J Pediatr Orthop. 1994;14:662–666.
10.
Graf R. Fundamentals of sonographic diagnosis of infant hip dysplasia. J Pediatr Orthop. 1984;4:735–740.PubMed
11.
Graf R. The use of ultrasonography in developmental dysplasia of the hip. Acta Orthop Traumatol Turc. 2007;41(Suppl 1):6–13.PubMed
12.
Inan M, Harma A, Ertem K, Germen B, Bowen RJ. Successful treatment of high congenital dislocated hips in older children by open reduction, pelvic and femoral osteotomy with external fixator stabilization (average 8.2 years of age). J Pediatr Orthop B. 2005;14:405–409.PubMed
13.
Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am. 1980;62:876–888.PubMed
14.
Karakas ES, Baktir A, Argun M, Turk CY. One-stage treatment of congenital dislocation of the hip in older children. J Pediatr Orthop. 1995;15:330–336.PubMed
15.
Klisic P, Jankovic L. Combined procedure of open reduction and shortening of the femur in treatment of congenital dislocation of the hips in older children. Clin Orthop Relat Res. 1976;119:60–69.PubMed
16.
Klisic P, Jankovic L, Basara V. Long-term results of combined operative reduction of the hip in older children. J Pediatr Orthop. 1988;8:532–534.PubMed
17.
Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am. 1994;76:1777–1792.PubMed
18.
Papavasiliou VA, Papavasiliou AV. Surgical treatment of developmental dysplasia of the hip in the periadolescent period. J Orthop Sci. 2005;10:15–21.PubMedCrossRef
19.
Ryan MG, Johnson LO, Quanbeck DS, Minkowitz B. One-stage treatment of congenital dislocation of the hip in children three to ten years old. Functional and radiographic results. J Bone Joint Surg Am. 1998;80:336–344.PubMed
20.
Salter RB, Dubos JP. The first fifteen years’ personal experience with innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. Clin Orthop Relat Res. 1974;98:72–103.PubMedCrossRef
21.
Shih CH, Shih HN. One-stage combined operation of congenital dislocation of the hips in older children. J Pediatr Orthop. 1988;8:535–539.PubMed
22.
Tönnis D. Surgical treatment of congenital dislocation of the hip. Clin Orthop Relat Res. 1990;258:33–40.PubMed
23.
Trevor D, Johns DL, Fixsen JA. Acetabuloplasty in the treatment of congenital dislocation of the hip. J Bone Joint Surg Br. 1975;57:167–174.PubMed
24.
Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint with special reference to the complication of osteoarthritis. Acta Chir Scand. 1939;83(Suppl 58):33–38.
Metadata
Title
Outcome in Unilateral or Bilateral DDH Treated with One-stage Combined Procedure
Authors
Mehmet Subasi, MD
Huseyin Arslan, MD
Oguz Cebesoy, MD
Orhan Buyukbebeci, MD
Ahmet Kapukaya, MD
Publication date
01-04-2008
Publisher
Springer-Verlag
Published in
Clinical Orthopaedics and Related Research® / Issue 4/2008
Print ISSN: 0009-921X
Electronic ISSN: 1528-1132
DOI
https://doi.org/10.1007/s11999-008-0162-2

Other articles of this Issue 4/2008

Clinical Orthopaedics and Related Research® 4/2008 Go to the issue

50 Years Ago in CORR

50 Years Ago in CORR

Symposium: Developmental Dysplasia of the Hip

The Limbus and the Neolimbus in Developmental Dysplasia of the Hip

Original Article

The Influence of Surgical Approach on Outcome in Birmingham Hip Resurfacing

Symposium: Developmental Dysplasia of the Hip

Treatment of Graf’s Ultrasound Class III and IV Hips Using Pavlik’s Method

Symposium: Developmental Dysplasia of the Hip

Imaging in the Surgical Management of Developmental Dislocation of the Hip

Original Article

Fluoroscopic Diagnosis of Scapholunate Interosseous Ligament Injuries in Distal Radius Fractures