Developmental dysplasia of hip – An overview
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Developmental dysplasia of the hip refers to a spectrum of severity ranging from mild acetabular dysplasia with a stable hip, to more severe forms of dysplasia with hip instability, to established hip dysplasia with or without subluxation or dislocation. DDH affects 1-3% of newborns and is responsible for 29% of primary hip replacements in people up to the age of 60 years. Ligamentous laxity is also believed to be associated with hip dysplasia, though this association is less clear. The treatment of DDH is age-related and the goal is to achieve and maintain concentric reduction of the femoral head into the acetabulum. A dislocated hip which can be reduced and a reduced hip that can be subluxated should be treated with the orthosis. All such hips should be treated in orthosis or harness beginning at the time of diagnosis. This results from excessive pressure on the femoral head after reduction in extreme abduction and internal rotation leading to vascular occlusion. Avascular necrosis results from excessive pressure on the femoral head after reduction in extreme abduction and internal rotation leading to vascular occlusion. Developmental dysplasia of the hip is a challenging condition. Formal training in the treatment of various age groups with DDH is mandatory. Successful treatment with Orthoses requires careful counselling of parents. Surgical management requires careful pre-operative planning and adequate follow up to ensure the best clinical outcomes.
Authors and Affiliations
Dr. RK Jain, Dr. Siddharth Patel
Keywords
Related Articles
- EP ID EP480853
- DOI 10.22271/ortho.2017.v3.i4a.10
- Views 142
- Downloads 0
To study the outcome of intercondylar fractures of distal humerus using dual plating and its functional outcome
Introduction: Distal humeral fractures account for approximately 2%–6% of all fractures and for approximately 30% of all elbow fractures [1]. The complex anatomy of the distal end of the humerus, with its unique orientat...
A prospective study of crossed versus lateral pinning for displaced extension-type supracondylar fractures of humerus
Background: Pediatric age group has the highest incidence of supracondylar fracture of humerus, the most common being the extension type. A precise evaluation and planning is required for deciding the modality of treatme...
To evaluate the results of PFN in unstable proximal femoral fractures using Harris hip score
Introduction: Proximal Femoral fracture is one of the most devastating injuries in orthopaedic traumatology. In the past, these injuries were commonly noted in elderly person. With the industrial development, these injur...
The use of cling film to facilitate shower after total knee replacement surgery
Background: Total knee replacement (TKR) surgeries are arguably the most successful procedure in recent times. However, personal hygiene remains a big issue, especially in the immediate post operative period. The patient...
Study of lower end radius fractures treated with external fixator with or without K wire
Objectives: A prospective study of management of fracture distal radius by external fixator using the principle of ligamentotaxis was conducted from July 2016 to August 2017 at our institute to evaluate the clinical effi...