Acetabular Remodeling after Closed Reduction of Developmental Dysplasia of the Hip.

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  • Additional Information
    • Source:
      Publisher: Wolters Kluwer - Medknow Publications Country of Publication: India NLM ID: 101675905 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2321-4856 (Electronic) Linking ISSN: 23214856 NLM ISO Abbreviation: Saudi J Med Med Sci Subsets: PubMed not MEDLINE
    • Publication Information:
      Original Publication: Mumbai : Wolters Kluwer - Medknow Publications, [2013]-
    • Abstract:
      Objectives: This study aims to assess the radiographic development of the acetabulum after closed reduction of developmental dysplasia of the hip in patients with different follow-up periods.
      Methods: The authors undertook a retrospective review of clinical records and radiographs of children who were diagnosed with developmental dysplasia of the hip and underwent closed reduction (mean age at closed reduction: 8.6 months) at King Khalid Civil Hospital, Tabuk, Saudi Arabia. Patients with a follow-up period < 12 months were excluded from the study. Acetabular index angles for anteroposterior pelvic radiograph before treatment and at the final follow-up were used to assess acetabular development. Patients were divided into four groups according to the follow-up period and then the acetabular index was compared.
      Results: A total of 64 dislocated hips of 40 patients were included in the study. The average follow-up period was 33.9 months (range: 12-82 months). Mean acetabular index before closed reduction was 34.37° (range: 25-46°), whereas the mean acetabular index after closed reduction was 23.8° (range: 10-37°). All groups showed improvement in the acetabular coverage and the acetabular index was significantly higher in groups with a longer follow-up period.
      Conclusions: This study found that successful closed reduction of congenitally dislocated hips within the recommended age results in better acetabular development (coverage) and this improvement is more evident in patients with a longer follow-up period. Further studies can consolidate these results and help define the criteria for deciding early acetabuloplasty.
      Competing Interests: There are no conflicts of interest.
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    • Contributed Indexing:
      Keywords: Acetabular index; acetabular remodeling; closed reduction; developmental dysplasia of the hip
    • Publication Date:
      Date Created: 20190222 Latest Revision: 20220331
    • Publication Date:
      20240104
    • Accession Number:
      PMC6196686
    • Accession Number:
      10.4103/sjmms.sjmms_139_16
    • Accession Number:
      30787812