Document Detail

Closed reduction of developmental dislocation of the hip in children older than 18 months.
MedLine Citation:
PMID:  8543605     Owner:  NLM     Status:  MEDLINE    
Thirty-eight hips in 32 patients > or = 18 months of age had closed reduction attempted for developmental dislocation of the hip. Twenty-six hips in 24 patients had an initially successful closed reduction. During cast treatment three of 26 hips had progressive subluxation or dislocation requiring open reduction with or without concomitant osteotomies. The remaining 23 hips, with an average follow-up of 8 + 8 years, are thought to have had a successful closed reduction. Eleven of those hips have required no further surgical procedures and had an average acetabular index of 18 degrees at last follow-up. Twelve of the 23 hips that had successful closed reduction required a femoral or pelvic osteotomy for failure to remodel. Younger age (< 22 months) at the time of reduction and lower grade (I and II) dislocation were favorable prognostic indicators of the likelihood of successful closed reduction.
P L Schoenecker; P A Dollard; J J Sheridan; W B Strecker
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  15     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    1995 Nov-Dec
Date Detail:
Created Date:  1996-02-13     Completed Date:  1996-02-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  763-7     Citation Subset:  IM    
Shriners Hospital for Crippled Children, St. Louis Unit, St. Louis Children's Hospital, MO 63131-3597, USA.
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MeSH Terms
Child, Preschool
Follow-Up Studies
Hip Dislocation, Congenital / radiography,  therapy*
Manipulation, Orthopedic*
Retrospective Studies
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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