Surgical treatment of developmental dysplasia of the hip in the periadolescent period

The surgical management of patients with neglected developmental dysplasia of the hip (DDH) after the age of 6years has been the subject of controversy. We present 11 cases (16 hips) of neglected DDH that were treated operatively by means of open reduction and derotational subtrochanteric osteotomy....

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Published inJournal of orthopaedic science : official journal of the Japanese Orthopaedic Association Vol. 10; no. 1; pp. 15 - 21
Main Authors Papavasiliou, Vasilios A., Papavasiliou, Athanasios V.
Format Journal Article
LanguageEnglish
Published Japan Elsevier B.V 01.01.2005
Springer Nature B.V
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Summary:The surgical management of patients with neglected developmental dysplasia of the hip (DDH) after the age of 6years has been the subject of controversy. We present 11 cases (16 hips) of neglected DDH that were treated operatively by means of open reduction and derotational subtrochanteric osteotomy. Patient age ranged between 10 and 17years (mean, 12years). Follow-up ranged from 5 to 13years (mean, 8.7years). The results have been satisfactory both clinically (evaluated using the modified Harris hip score) and radio- graphically (evaluated using Severin’s classification). Our data suggest that neglected DDH cases, not only during early childhood, but also in the periadolescent period, should be considered for surgical treatment.
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ISSN:0949-2658
1436-2023
DOI:10.1007/s00776-004-0850-z