Skip to main content
Top
Published in: International Orthopaedics 4/2006

01-08-2006 | Original Paper

The value of preliminary overhead traction in the closed management of DDH

Authors: Marcin Sibiński, Claire Murnaghan, Marek Synder

Published in: International Orthopaedics | Issue 4/2006

Login to get access

Abstract

We aimed to discover whether there is a difference in incidence of growth disturbances of the proximal femoral epiphysis and final results in two similar groups of children with developmental dislocation of the hip (DDH) treated with (107 hips) and without (48 hips) overhead traction. The only variable between the groups was the use of preliminary traction. All children were followed up until at least the age of 14 years. Pre-reduction traction should be used among children treated non-operatively for DDH who are older than one year of age and/or have high-dislocated hips. In cases that are diagnosed late, this treatment would reduce the risk of severe growth disturbances and increase the probability of a favourable long-term outcome.
Literature
1.
go back to reference Bednarczyk K, Szulc W (1988) Leczenie wrodzonego zwichnięcia stawu biodrowego wycigiem ponad głow. Chir Narz Ruchu Ortop Pol 2:106–112 Bednarczyk K, Szulc W (1988) Leczenie wrodzonego zwichnięcia stawu biodrowego wycigiem ponad głow. Chir Narz Ruchu Ortop Pol 2:106–112
2.
go back to reference Brougham DI, Broughton NS, Cole WG, Menelaus MB (1990) Avascular necrosis following closed reduction of congenital dislocation of the hip. Review of influencing factors and long-term follow-up. J Bone Joint Surg Br 72:557–562PubMed Brougham DI, Broughton NS, Cole WG, Menelaus MB (1990) Avascular necrosis following closed reduction of congenital dislocation of the hip. Review of influencing factors and long-term follow-up. J Bone Joint Surg Br 72:557–562PubMed
3.
go back to reference Buchanan JR, Greer RB 3rd, Cotler JM (1981) Management strategy for prevention of avascular necrosis during treatment of congenital dislocation of the hip. J Bone Joint Surg Am 63:140–146PubMed Buchanan JR, Greer RB 3rd, Cotler JM (1981) Management strategy for prevention of avascular necrosis during treatment of congenital dislocation of the hip. J Bone Joint Surg Am 63:140–146PubMed
4.
go back to reference Bucholz RW, Ogden JA (1978) Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip. Proceedings of the Sixth Open Scientific Meeting of the Hip Society. Mosby, St. Louis, pp 43–63 Bucholz RW, Ogden JA (1978) Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip. Proceedings of the Sixth Open Scientific Meeting of the Hip Society. Mosby, St. Louis, pp 43–63
5.
go back to reference Cooperman DR, Wallensten R, Stulberg SD (1983) Acetabular dysplasia in the adult. Clin Orthop 175:79–85PubMed Cooperman DR, Wallensten R, Stulberg SD (1983) Acetabular dysplasia in the adult. Clin Orthop 175:79–85PubMed
6.
go back to reference Daoud A, Saighi-Bououina A (1996) Congenital dislocation of the hip in the older child. The effectiveness of overhead traction. J Bone Joint Surg Am 78:30–40PubMed Daoud A, Saighi-Bououina A (1996) Congenital dislocation of the hip in the older child. The effectiveness of overhead traction. J Bone Joint Surg Am 78:30–40PubMed
7.
go back to reference DeRosa GP, Feller N (1987) Treatment of congenital dislocation of the hip. Management before walking age. Clin Orthop Relat Res 225:77–85PubMed DeRosa GP, Feller N (1987) Treatment of congenital dislocation of the hip. Management before walking age. Clin Orthop Relat Res 225:77–85PubMed
8.
go back to reference Gregosiewicz A, Wośko I (1988) Risk factors of avascular necrosis in the treatment of congenital dislocation of the hip. J Pediatr Orthop 8:17–19PubMed Gregosiewicz A, Wośko I (1988) Risk factors of avascular necrosis in the treatment of congenital dislocation of the hip. J Pediatr Orthop 8:17–19PubMed
9.
go back to reference Hilgenreiner H (1925) Zur frühdiagnose und frühbehandlung der angeborenen hüftgelenksverrenkung. Med Klin 21:1385–1388, 1425–1429 Hilgenreiner H (1925) Zur frühdiagnose und frühbehandlung der angeborenen hüftgelenksverrenkung. Med Klin 21:1385–1388, 1425–1429
10.
go back to reference Kahle WK, Anderson MB, Alpert J, Stevens PM, Coleman SS (1990) The value of preliminary traction in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 72:1043–1047PubMed Kahle WK, Anderson MB, Alpert J, Stevens PM, Coleman SS (1990) The value of preliminary traction in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 72:1043–1047PubMed
11.
go back to reference Kalamchi A, MacEwen GD (1980) Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 62:876–888PubMed Kalamchi A, MacEwen GD (1980) Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 62:876–888PubMed
12.
go back to reference Kutlu A, Ayata C, Ogun TC, Kapicioglu MI, Mutlu M (2000) Preliminary traction as a single determinant of avascular necrosis in developmental dislocation of the hip. J Pediatr Orthop 5:579–584 Kutlu A, Ayata C, Ogun TC, Kapicioglu MI, Mutlu M (2000) Preliminary traction as a single determinant of avascular necrosis in developmental dislocation of the hip. J Pediatr Orthop 5:579–584
13.
go back to reference Lange M (1931) Zur frage der femurkopfverunstaltung nach unblutig eingerenketnen angeborenen huftluxationen. ROFO 44:227–234 Lange M (1931) Zur frage der femurkopfverunstaltung nach unblutig eingerenketnen angeborenen huftluxationen. ROFO 44:227–234
14.
go back to reference Langenskiöld A, Paavilainen T (2000) The effect of prereduction traction on the results of closed reduction of developmental dislocation of the hip. J Pediatr Orthop 4:471–474CrossRef Langenskiöld A, Paavilainen T (2000) The effect of prereduction traction on the results of closed reduction of developmental dislocation of the hip. J Pediatr Orthop 4:471–474CrossRef
15.
go back to reference Malvitz TA, Weinstein SL (1994) Closed reduction for congenital dysplasia of the hip. J Bone Joint Surg Am 12:1777–1792 Malvitz TA, Weinstein SL (1994) Closed reduction for congenital dysplasia of the hip. J Bone Joint Surg Am 12:1777–1792
16.
go back to reference Mose K, Hjorth L, Ulfeldt M, Christensen ER, Jensen A (1977) Legg-Calvé-Perthes’ disease: the late occurrence of coxarthrosis. Acta Orthop Scand Suppl 169:1–39PubMed Mose K, Hjorth L, Ulfeldt M, Christensen ER, Jensen A (1977) Legg-Calvé-Perthes’ disease: the late occurrence of coxarthrosis. Acta Orthop Scand Suppl 169:1–39PubMed
17.
go back to reference Segal LS, Boal DK, Borthwick L, Schwentker EP, Clark MW (1999) Avascular necrosis following treatment of DDH: the protective influence of the ossific nucleus. J Pediatr Orthop 4:177–184 Segal LS, Boal DK, Borthwick L, Schwentker EP, Clark MW (1999) Avascular necrosis following treatment of DDH: the protective influence of the ossific nucleus. J Pediatr Orthop 4:177–184
18.
go back to reference Severin E (1941) Contribution of the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 63 (Suppl.):84 Severin E (1941) Contribution of the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 63 (Suppl.):84
19.
go back to reference Sharp IK (1961) Acetabular dysplasia. The acetabular angle. J Bone Joint Surg Br 43:268–272 Sharp IK (1961) Acetabular dysplasia. The acetabular angle. J Bone Joint Surg Br 43:268–272
20.
go back to reference Smith JT, Bagdley CE, Orwig JB, Harper JM (1968) Correlation of postreduction roentgenograms and thirty-one-year follow-up in congenital dislocation of the hip. J Bone Joint Surg Am 50:1081–1098PubMed Smith JT, Bagdley CE, Orwig JB, Harper JM (1968) Correlation of postreduction roentgenograms and thirty-one-year follow-up in congenital dislocation of the hip. J Bone Joint Surg Am 50:1081–1098PubMed
21.
go back to reference Tönnis D (1987) Congenital dysplasia and dislocation of the hip in children and adults. Springer-Verlag, Berlin Heidelberg New York Tönnis D (1987) Congenital dysplasia and dislocation of the hip in children and adults. Springer-Verlag, Berlin Heidelberg New York
22.
go back to reference Weiner DS, Hoyt WA Jr, O’Dell HW (1977) Congenital dislocation of the hip. The relationship of premanipulation traction and age to avascular necrosis of the femoral head. J Bone Joint Surg Am 3:306–311 Weiner DS, Hoyt WA Jr, O’Dell HW (1977) Congenital dislocation of the hip. The relationship of premanipulation traction and age to avascular necrosis of the femoral head. J Bone Joint Surg Am 3:306–311
23.
go back to reference Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis. Acta Chir Scand Suppl 83:58 Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis. Acta Chir Scand Suppl 83:58
24.
go back to reference Zwierzchowski H (1963) Badania nad ukształtowaniem stawu biodrowego pozornie zdrowego w przypadkach jednostronnego, wrodzonego zwichnięcia biodra. Chir Narz Ruchu Ortop Pol 28:925–930 Zwierzchowski H (1963) Badania nad ukształtowaniem stawu biodrowego pozornie zdrowego w przypadkach jednostronnego, wrodzonego zwichnięcia biodra. Chir Narz Ruchu Ortop Pol 28:925–930
Metadata
Title
The value of preliminary overhead traction in the closed management of DDH
Authors
Marcin Sibiński
Claire Murnaghan
Marek Synder
Publication date
01-08-2006
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 4/2006
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0080-4

Other articles of this Issue 4/2006

International Orthopaedics 4/2006 Go to the issue