Treatment of centered developmental dysplasia of the hip under the age of 1 year: an evidence-based clinical practice guideline - Part 1

Autor: Christiaan J A van Bergen, Pieter Bas de Witte, Floor Willeboordse, Babette L de Geest, Magritha (Margret) M H P Foreman-van Drongelen, Bart J Burger, Yvon M den Hartog, Joost H van Linge, Renske M Pereboom, Simon G F Robben, M Adhiambo Witlox, Melinda M E H Witbreuk
Přispěvatelé: Orthopedic Surgery and Sports Medicine, Amsterdam Movement Sciences - Restoration and Development, Amsterdam Movement Sciences, RS: SHE - R1 - Research (OvO), Beeldvorming, MUMC+: DA BV Medisch Specialisten Radiologie (9), RS: CAPHRI - R2 - Creating Value-Based Health Care, Orthopedie, MUMC+: MA Orthopedie (9), MUMC+: Centrum voor Bewegen (3)
Rok vydání: 2022
Předmět:
Zdroj: EFORT Open Reviews, 7(7), 498-505. British Editorial Society of Bone and Joint Surgery
van Bergen, C J A, de Witte, P B, Willeboordse, F, de Geest, B L, Drongelen, M M H P F, Burger, B J, Hartog, Y M D, van Linge, J H, Pereboom, R M, Robben, S G F, Witlox, M A & Witbreuk, M M E H 2022, ' Treatment of centered developmental dysplasia of the hip under the age of 1 year : an evidence-based clinical practice guideline-Part 1 ', EFORT Open Reviews, vol. 7, no. 7, pp. 498-505 . https://doi.org/10.1530/EOR-21-0125
EFORT Open Reviews, 7(7), 498-505. BIOSCIENTIFICA LTD
ISSN: 2058-5241
2396-7544
DOI: 10.1530/EOR-21-0125
Popis: Despite the high incidence of developmental dysplasia of the hip (DDH), treatment is very diverse. Therefore, the Dutch Orthopedic Society developed a clinical practice guideline with recommendations for optimal and uniform treatment of DDH. This article summarizes the guideline on centered DDH (i.e. Graf types 2A–C). The guideline development followed the criteria of Appraisal of Guidelines for Research and Evaluation II. A systematic literature review was performed to identify randomized controlled trials and comparative cohort studies including children Out of 430 potentially relevant articles, 5 comparative studies were included. Final guideline recommendations were (1) initially observe 3-month-old patients with centered DDH, start abduction treatment if the hip does not normalize after 6–12 weeks; (2) prescribe a Pavlik harness to children 6 months; (3) assess patients every 6 weeks; and (4) discontinue the abduction device when the hip has normalized or when the child is 12 months. This paper presents a summary of part 1 of the first evidence-based guideline for treatment of centered DDH in children
Databáze: OpenAIRE
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