| 6 Weeks with the von Rosen splint is sufficient for treatment of neonatal hip instability. | |
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MedLine Citation:
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PMID: 16752287 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: There is no concensus on the optimal treatment time for unstable hips in the newborn. We analyzed the efficiency of a treatment program that has been used for 10 years at our hospital, in which all unstable hips (subluxatable, Barlow-positive and Ortolani-positive) are treated with the von Rosen splint for 6 weeks. PATIENTS AND METHODS: Between 1988 and 1997, 32,171 children were born alive at the hospital. During this period 247 children had a clinically unstable hip diagnosed. 223 of the 247 children underwent a radiographic follow-up after 5-15 years. RESULTS: 1 patient with bilateral instability and treated with a splint for 6 weeks showed a dislocated left hip at the radiographic examination at 8 months, which is part of the screening program, and needed operative treatment. 1 patient did not follow the treatment program and showed a dislocated hip at the age of 3. Another 4 patients required more treatment than the 6 weeks with the splint. We found no dysplastic hips at the radiographic follow-up. There was no late dysplasia and there were no late dislocations in children born in Lund between 1988 and 1997 who were diagnosed at other Swedish centers that treat developmental dysplasia of the hip (DDH). INTERPRETATION: We conclude that the present screening and 6-week treatment in a von Rosen splint prevent almost all cases of late dysplasia and late dislocation of the hip. |
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Authors:
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Henrik Lauge-Pedersen; Johan Gustafsson; Gunnar Hägglund |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta orthopaedica Volume: 77 ISSN: 1745-3674 ISO Abbreviation: Acta Orthop Publication Date: 2006 Apr |
Date Detail:
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Created Date: 2006-06-05 Completed Date: 2006-06-13 Revised Date: 2009-12-11 |
Medline Journal Info:
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Nlm Unique ID: 101231512 Medline TA: Acta Orthop Country: Sweden |
Other Details:
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Languages: eng Pagination: 257-61 Citation Subset: IM |
Affiliation:
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Department of Orthopedics, Lund University Hospital, Lund, Sweden. Henrik.Lauge-Pedersen@ort.lu.se |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Child Child, Preschool Female Follow-Up Studies Hip Dislocation, Congenital / radiography, therapy* Humans Infant Infant, Newborn Male Splints* Time Factors Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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