Revision open reduction in developmental dysplasia of the hip.
| Title: | Revision open reduction in developmental dysplasia of the hip. |
|---|---|
| Authors: | Alassaf, Nabil1 (AUTHOR) dr.nabil.alassaf@gmail.com |
| Source: | International Orthopaedics. Jan2025, Vol. 49 Issue 1, p177-182. 6p. |
| Subject Terms: | *CONGENITAL hip dislocation, *LEG length inequality, *HIP joint dislocation, *MEDICAL sciences |
| Abstract: | Purpose: Re-dislocation after open reduction remains a challenge in the treatment of developmental dysplasia of the hip (DDH). Few geographically and temporally diverse reports exist on the topic. The aim of this study was to uncover the outcome in a group of DDH patients who underwent repeat open reduction. Methods: All patients who had DDH surgery were screened at one hospital, spanning a ten-year period. Patients who underwent repeat open reduction for re-dislocation were included. Clinical data and radiographic parameters were obtained. This is a retrospective cohort study. Results: Twenty-three revision open reductions were included. The median age (interquartile range) was 40 (26–61) months and the median follow-up duration was 26 (14–55.50) months. Fifteen revisions (65%) had at least one notable complication. Recurrent instability was found in nine revisions (39%), and other complications included avascular necrosis, stiffness and leg length discrepancy in 12 revisions (52%). Although it did not reach statistical significance (p = 0.13), all hips with pre-revision international hip dysplasia institute grade III (n = 4), compared to grade IV, remained stable after the re-operation. Conclusions: There is a substantial risk of dismal prognosis after repeat open reduction. Moreover, every precaution should be taken during the first surgery to reduce the risk of re-operation. Findings from this study may help inform surgeons and caregivers about the probable negative outcome when contemplating repeat open reduction. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Revision open reduction in developmental dysplasia of the hip. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Alassaf%2C+Nabil%22">Alassaf, Nabil</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> dr.nabil.alassaf@gmail.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22International+Orthopaedics%22">International Orthopaedics</searchLink>. Jan2025, Vol. 49 Issue 1, p177-182. 6p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22CONGENITAL+hip+dislocation%22">CONGENITAL hip dislocation</searchLink><br />*<searchLink fieldCode="DE" term="%22LEG+length+inequality%22">LEG length inequality</searchLink><br />*<searchLink fieldCode="DE" term="%22HIP+joint+dislocation%22">HIP joint dislocation</searchLink><br />*<searchLink fieldCode="DE" term="%22MEDICAL+sciences%22">MEDICAL sciences</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Purpose: Re-dislocation after open reduction remains a challenge in the treatment of developmental dysplasia of the hip (DDH). Few geographically and temporally diverse reports exist on the topic. The aim of this study was to uncover the outcome in a group of DDH patients who underwent repeat open reduction. Methods: All patients who had DDH surgery were screened at one hospital, spanning a ten-year period. Patients who underwent repeat open reduction for re-dislocation were included. Clinical data and radiographic parameters were obtained. This is a retrospective cohort study. Results: Twenty-three revision open reductions were included. The median age (interquartile range) was 40 (26–61) months and the median follow-up duration was 26 (14–55.50) months. Fifteen revisions (65%) had at least one notable complication. Recurrent instability was found in nine revisions (39%), and other complications included avascular necrosis, stiffness and leg length discrepancy in 12 revisions (52%). Although it did not reach statistical significance (p = 0.13), all hips with pre-revision international hip dysplasia institute grade III (n = 4), compared to grade IV, remained stable after the re-operation. Conclusions: There is a substantial risk of dismal prognosis after repeat open reduction. Moreover, every precaution should be taken during the first surgery to reduce the risk of re-operation. Findings from this study may help inform surgeons and caregivers about the probable negative outcome when contemplating repeat open reduction. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of International Orthopaedics is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1007/s00264-024-06358-3 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 6 StartPage: 177 Subjects: – SubjectFull: CONGENITAL hip dislocation Type: general – SubjectFull: LEG length inequality Type: general – SubjectFull: HIP joint dislocation Type: general – SubjectFull: MEDICAL sciences Type: general Titles: – TitleFull: Revision open reduction in developmental dysplasia of the hip. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Alassaf, Nabil IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 03412695 Numbering: – Type: volume Value: 49 – Type: issue Value: 1 Titles: – TitleFull: International Orthopaedics Type: main |
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