Open and Closed Reduction for Developmental Dysplasia of the Hip in New York State

Autor: Ishaan Swarup, MD, Yile Ge, MS, David Scher, MD, Ernest Sink, MD, Roger Widmann, MD, Emily Dodwell, MD, MPH, FRCSC
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: JBJS Open Access, Vol 5, Iss 1, p e0028 (2020)
Druh dokumentu: article
ISSN: 2472-7245
DOI: 10.2106/JBJS.OA.19.00028
Popis: Background:. There are limited data on the incidence and outcomes of open and closed hip reduction in patients with developmental dysplasia of the hip (DDH). The aims of this study were to determine the incidence of open and closed reduction of the hip using population-level data and to assess the rates of subsequent surgery. Methods:. Children aged 3 years and younger with DDH who underwent open or closed reduction of the hip between 1997 and 2013 were identified in the New York Statewide Planning and Research Cooperative System (SPARCS) database. Patient age, sex, race, and insurance status as well as concurrent procedures were extracted. Admissions through 2014 were searched for subsequent surgeries, providing a minimum 1-year post-reduction surveillance for all patients. Age-specific incidence rates were calculated using New York State annual population data. The rates of concurrent and subsequent surgeries were calculated. A sensitivity analysis was performed to provide a range for the rates of subsequent surgery. Univariate analyses consisted of chi-square or Fisher exact tests for categorical variables. Results:. In total, 897 patients (637 who underwent closed reduction and 260 who underwent open reduction) were identified. The age-specific incidence per 100,000 population was 12.5 for closed reduction and 2.6 for open reduction for
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