Closed vs open reduction in developmental dysplasia of the hip: The short-term effect on acetabular remodeling.
J Clin Orthop Trauma
; 11(2): 213-216, 2020.
Article
em En
| MEDLINE
| ID: mdl-32099282
ABSTRACT
BACKGROUND:
This study aims to assess acetabular remodeling following closed vs, open hip reduction in children younger than 2 years of age.METHODS:
Records of children with DDH, who underwent closed or open reduction, were reviewed. Acetabular index (AI) was measured on radiographs taken prior to reduction and on outcome radiographs taken at age 4 years. Radiographic outcomes were analyzed and residual dysplasia (outcome AIâ¯≥â¯30) degrees recorded.RESULTS:
42 hips had closed reduction; and 26 hips had open reduction. A higher percentage of hips treated with successful closed reduction, had outcome AI ≥ 30° (29% vs. 19% pâ¯=â¯0.387). Residual dysplasia was more common in IHDI-IV hips than IHDI-III hips for both groups. A higher incidence of AVN was seen in the open reduction group (13% vs. 7%; pâ¯=â¯0.43).CONCLUSION:
In children with DDH under the age of two, open reduction with capsulorrhaphy may benefit acetabular remodeling more so than closed reduction despite maintenance of reduction. Although AVN remains a risk, higher remodeling might be expected with open reduction.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article