Quality of life in adult patients with developmental dysplasia of the hip who were treated for hip dislocation during childhood.

Autor:	Sawamura K; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya., Kitoh H; Department of Orthopaedic Surgery, Aichi Children's Health and Medical Center, Obu.; Department of Comprehensive Pediatric Medicine, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan., Matsushita M; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya., Mishima K; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya., Kamiya Y; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya., Imagama S; Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Nagoya.
Jazyk:	angličtina
Zdroj:	Journal of pediatric orthopedics. Part B [J Pediatr Orthop B] 2025 Jan 01; Vol. 34 (1), pp. 38-43. Date of Electronic Publication: 2024 Feb 26.
DOI:	10.1097/BPB.0000000000001173
Abstrakt:	Developmental dysplasia of the hip (DDH) can lead to premature loss of hip function if not properly treated; however, few studies have focused on the long-term outcomes of DDH. We conducted a survey of health-related quality of life in adult patients with DDH who were treated for hip dislocation during childhood. We sent a questionnaire to 287 adult patients with DDH who were treated for hip dislocation during childhood in our institutions. We examined patient demographics, disease-specific medical history, and health-related quality of life using the short form-36. Physical component summary (PCS), mental component summary (MCS) and role/social component summary (RCS) were compared between the patients and Japanese standard values. Sixty-eight patients were evaluated after exclusion. The overall mean PCS, MCS and RCS scores of the patients were comparable to the standard values. The PCS was maintained until the age of 50, but it was significantly decreased in 10 patients over 50 years old. In addition, PCS was significantly lower in patients who underwent open reduction than in those who were conservatively reduced. The MCS and RCS of the patients did not differ from the standard values in each age and treatment group. Additionally, the PCS, MCS and RCS did not differ according to bilaterality, age at diagnosis, or requirement for additional surgeries. Physical quality of life was maintained until the age of 50 but rapidly declined thereafter in patients with DDH, especially in those who required open reduction during childhood. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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