Duration of immobilization after developmental dysplasia of the hip and open reduction surgery
| Autor: | Mohamed Ahmed Al Kersh, Khaled M. Emara, Fahad Abdulazeez Hayyawi |
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| Rok vydání: | 2018 |
| Předmět: |
Male
musculoskeletal diseases medicine.medical_specialty Time Factors medicine.medical_treatment Statistical difference Avascular necrosis Immobilization 03 medical and health sciences 0302 clinical medicine Clinical Protocols medicine Humans Orthopedic Procedures Orthopedics and Sports Medicine Postoperative Period Hip Dislocation Congenital Reduction (orthopedic surgery) Retrospective Studies 030203 arthritis & rheumatology 030222 orthopedics Braces Developmental dysplasia business.industry Infant Plastic Surgery Procedures Hip spica cast medicine.disease Brace Surgery Casts Surgical Open Fracture Reduction Treatment Outcome Orthopedic surgery Female Anterior approach business |
| Zdroj: | International Orthopaedics. 43:405-409 |
| ISSN: | 1432-5195 0341-2695 |
| DOI: | 10.1007/s00264-018-3962-3 |
| Popis: | There is no consensus about the duration of post-operative immobilization in the treatment of DDH (developmental dysplasia of hip). Our aim in this study is to compare between two post-operative immobilization protocols for patients undergoing open reduction. Thirty-eight hips in 32 patients assigned to group A were immobilized in hip spica for four weeks followed by abduction brace application which was gradually weaned through the periods of several months and 29 hips in 24 patients assigned to group B immobilized in hip spica for 12 weeks without further bracing. Both groups were surgically reduced using anterior approach between the ages of 12–24 months. There were non-significant statistical difference between both groups as regards clinical and radiological outcome but there is significant statistical difference as regards AVN (avascular necrosis) on follow-up between both groups. The rate of AVN cannot be related to the method of immobilization, as there are many factors can lead to AVN of the hip as immobilization in an extreme position and tight reduction. Group A post-operative immobilization protocol is safer and associated with less complications and more comfortable to the patient and parents than that used in group B. Early removal of hip spica cast and application of hip abduction brace does not increase the rate of re-dislocation. Level III Retrospective comparative study |
| Databáze: | OpenAIRE |
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