Severity of hip dysplasia as the major factor affecting outcome of closed reduction in children with hip dysplasia.
Journal
Journal of pediatric orthopedics. Part B
ISSN: 1473-5865
Titre abrégé: J Pediatr Orthop B
Pays: United States
ID NLM: 9300904
Informations de publication
Date de publication:
05 Sep 2023
05 Sep 2023
Historique:
medline:
5
9
2023
pubmed:
5
9
2023
entrez:
5
9
2023
Statut:
aheadofprint
Résumé
The objective of this study was to analyze a multicenter cohort of children with developmental dysplasia of the hip (DDH) who underwent treatment with closed reduction. We sought to report the effects that severity of hip dysplasia and age have on the development of femoral head avascular necrosis (AVN) and the need for additional procedures. All patients with DDH and minimum 2 years of follow-up who underwent closed reduction were identified. The following variables were recorded: sex, laterality of hip involvement, age, acetabular index (AI), and International Hip Dysplasia Institute (IHDI) grade. The effects of patient age and pre-procedure IHDI grade on the rate of AVN and need for additional procedures after the closed reduction were analyzed using an alpha of 0.05. Seventy-eight total hips were included in the final analysis. The average patient age was 12 months. AVN of the femoral head was reported in 24 hips (30.8%) and 32 hips (41.0%) required additional surgery. Higher pre-op IHDI grade was associated with higher risk of developing Bucholz-Ogden grades II-IV AVN of the femoral head (P = 0.025) and requiring additional surgery (P= 0.033) regardless of patient age. There were no statistically significant differences for the effect of age on the measured outcomes (P > 0.05). These findings suggest that severity of dislocation (IHDI grade) is a significant risk factor for the development of AVN and need for additional procedure.
Identifiants
pubmed: 37669157
doi: 10.1097/BPB.0000000000001122
pii: 01202412-990000000-00147
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Références
Swarup I, Ge Y, Scher D, Sink E, Widmann R, Dodwell E. Open and closed reduction for developmental dysplasia of the hip in New York State: incidence of hip reduction and rates of subsequent surgery. JB JS Open Access 2020; 5:e0028. Published 2020 Feb 3.
Dezateux C, Rosendahl K. Developmental dysplasia of the hip. Lancet 2007; 369:1541–1552.
Fu Z, Yang JP, Zeng P, Zhang ZL. Surgical implications for residual subluxation after closed reduction for developmental dislocation of the hip: a long-term follow-up. Orthop Surg 2014; 6:210–216.
Pollet V, Pruijs H, Sakkers R, Castelein R. Results of Pavlik harness treatment in children with dislocated hips between the age of six and twenty-four months. J Pediatr Orthop 2010; 30:437–442.
Sankar WN, Nduaguba A, Flynn JM. Ilfeld abduction orthosis is an effective second-line treatment after failure of Pavlik harness for infants with developmental dysplasia of the hip. J Bone Joint Surg Am 2015; 97:292–297.
Vitale MG, Skaggs DL. Developmental dysplasia of the hip from six months to four years of age. J Am Acad Orthop Surg 2001; 9:401–411.
Arneill M, Cosgrove A, Robinson E. Should closed reduction of the dislocated hip be attempted after failed Pavlik harness treatment in developmental dysplasia of the hip? Bone Jt Open 2021; 2:584–588.
Li Y, Guo Y, Shen X, Liu H, Mei HB, Xu HW, et al.; Chinese Multi-center Pediatric Orthopedic Study Group (CMPOS). Radiographic outcome of children older than twenty-four months with developmental dysplasia of the hip treated by closed reduction and spica cast immobilization in human position: a review of fifty-one hips. Int Orthop 2019; 43:1405–1411.
Zhang G, Li M, Qu X, Cao Y, Liu X, Luo C, et al. Efficacy of closed reduction for developmental dysplasia of the hip: midterm outcomes and risk factors associated with treatment failure and avascular necrosis. J Orthop Surg Res 2020; 15:579. Published 2020 Dec 2.
Tennant SJ, Eastwood DM, Calder P, Hashemi-Nejad A, Catterall A. A protocol for the use of closed reduction in children with developmental dysplasia of the hip incorporating open psoas and adductor releases and a short-leg cast: mid-term outcomes in 113 hips. Bone Joint J 2016; 98-B:1548–1553.
Tennant SJ, Hashemi-Nejad A, Calder P, Eastwood DM. Bilateral developmental dysplasia of the hip: does closed reduction have a role in management? outcome of closed and open reduction in 92 hips. J Pediatr Orthop 2019; 39:e264–e271.
Elghobashy OH, Kutty S, Dawood AA, Hadrawi AT, Alharbi HH, Barakat AS, et al. Proposal of a novel predictive radiological method to assess the possibility of closed reduction in late presenting developmental dysplasia of the hip: the femoro-acetabular zones. J Pediatr Orthop B 2021; 30:132–138.
Rampal V, Sabourin M, Erdeneshoo E, Koureas G, Seringe R, Wicart P. Closed reduction with traction for developmental dysplasia of the hip in children aged between one and five years. J Bone Joint Surg Br 2008; 90:858–863.
Hurley RJ, Davey MS, Davey MG, Groarke P, Kennedy J, Moore DP. Age as a predictor of additional surgeries following initial closed reduction for children with developmental dysplasia of the hip: the 10-year experience of a national paediatric orthopaedic unit. Hip Int 2021; 33:539–543. [published online ahead of print, 2021 Dec 23].
Sankar WN, Gornitzky AL, Clarke NMP, Herrera-Soto JA, Kelley SP, Matheney T, et al.; International Hip Dysplasia Institute. Closed reduction for developmental dysplasia of the hip: early-term results from a prospective, multicenter cohort. J Pediatr Orthop 2019; 39:111–118.
Cheon JE, Kim JY, Choi YH, Kim WS, Cho TJ, Yoo WJ. MRI risk factors for development of avascular necrosis after closed reduction of developmental dysplasia of the hip: Predictive value of contrast-enhanced MRI. PLoS One 2021; 16:e0248701. Published 2021 Mar 18.
Tiderius C, Jaramillo D, Connolly S, Griffey M, Rodriguez DP, Kasser JR, et al. Post-closed reduction perfusion magnetic resonance imaging as a predictor of avascular necrosis in developmental hip dysplasia: a preliminary report. J Pediatr Orthop 2009; 29:14–20.
Morris WZ, Hinds S, Worrall H, Jo CH, Kim HKW. Secondary surgery and residual dysplasia following late closed or open reduction of developmental dysplasia of the hip. J Bone Joint Surg Am 2021; 103:235–242.
Paranjape M, Cziger A, Katz K. Ossification of femoral head: normal sonographic standards. J Pediatr Orthop 2002; 22:217–218. PMID: 11856934.
Sugawara R, Watanabe H, Taki N, Aihara T, Furukawa R, Nakata W, et al. New radiographic standards for age at appearance of the ossification center of the femoral head in Japanese: Appearance at ≤12 months of age is normal in Japanese infants. J Orthop Sci 2019; 24:166–169.
Luhmann SJ, Schoenecker PL, Anderson AM, Bassett GS. The prognostic importance of the ossific nucleus in the treatment of congenital dysplasia of the hip. J Bone Joint Surg Am 1998; 80:1719–1727.
Narayanan U, Mulpuri K, Sankar WN, Clarke NMP, Hosalkar H, Price CT; International Hip Dysplasia Institute. Reliability of a new radiographic classification for developmental dysplasia of the hip. J Pediatr Orthop 2015; 35:478–484.
Ramo BA, De La Rocha A, Sucato DJ, Jo CH. A New radiographic classification system for developmental hip dysplasia is reliable and predictive of successful closed reduction and late pelvic osteotomy. J Pediatr Orthop 2018; 38:16–21.
Miao M, Cai H, Hu L, Wang Z. Retrospective observational study comparing the international hip dysplasia institute classification with the Tonnis classification of developmental dysplasia of the hip. Medicine (Baltim) 2017; 96:e5902.
Singh KA, Ganjwala D, Gupta P, Vazhayil Kottamttavida I, Varma M, Shah H. Reliability of 3 radiologic classifications for the severity of the developmental dysplasia of the hip in children older than 4 years. J Pediatr Orthop 2022; 42:23–29.
Talathi NS, Trionfo A, Patel NM, Upasani VV, Matheney T, Mulpuri K, et al. Should i plan to open? predicting the need for open reduction in the treatment of developmental dysplasia of the hip. J Pediatr Orthop 2020; 40:e329–e334.
Yilar S, Köse M, Tuncer K, Karsan O, Topal M, Ezirmik N. Impact of presence of ossific nucleus on results of closed reduction in treatment of developmental dysplasia of the hip (302 hips). J Pediatr Orthop B 2021; 30:126–131.
Hussain RN, Rad D, Watkins WJ, Carpenter C. The incidence of avascular necrosis following a cohort of treated developmental dysplasia of the hip in a single tertiary centre. J Child Orthop 2021; 15:232–240.
Li Y, Lin X, Liu Y, Li JC, Liu YZ, Pereira B, et al. Effect of age on radiographic outcomes of patients aged 6-24 months with developmental dysplasia of the hip treated by closed reduction. J Pediatr Orthop B 2020; 29:431–437.
Bozkurt C, Sarikaya B, Sipahioğlu S, Çetin BV, Bekin Sarikaya PZ, Kaptan AY, et al. Evaluation of avascular necrosis risk factors after closed reduction for developmental dysplasia of the hip before walking age. J Pediatr Orthop B 2022; 31:237–241.
Novais EN, Hill MK, Carry PM, Heyn PC. Is age or surgical approach associated with osteonecrosis in patients with developmental dysplasia of the hip? a meta-analysis. Clin Orthop Relat Res 2016; 474:1166–1177.
Sand A, Tiderius CJ, Düppe H, Wenger D. The International Hip Dysplasia Institute (IHDI) classification is more informative than the Tönnis classification. Acta Radiol 2023; 64:1103–1108.
Zhang Z, Li H, Li H, Zhang Z. Timing for closed reduction procedure for developmental dysplasia of the hip and its failure analysis. BMC Musculoskelet Disord 2020; 21:613. Published 2020 Sep 14.
Li Y, Liu H, Guo Y, Xu H, Xun F, Liu Y, et al.; Chinese Multicenter Pediatric Orthopaedic Study Group (CMPOS). Chinese Multicenter Pediatric Orthopaedic Study Group (CMPOS). Variables influencing the pelvic radiological evaluation in children with developmental dysplasia of the hip managed by closed reduction: a multicentre investigation. Int Orthop 2020; 44:511–518.
Alassaf N. Prediction of the requirement of open reduction for developmental dysplasia of the hip. J Int Med Res 2018; 46:54–61.
Zamzam MM, Khoshhal KI, Abak AA, Bakarman KA, AlSiddiky AMM, AlZain KO, et al. One-stage bilateral open reduction through a medial approach in developmental dysplasia of the hip. J Bone Joint Surg Br 2009; 91:113–118.
Wang TM, Wu KW, Shih SF, Huang SC, Kuo KN. Outcomes of open reduction for developmental dysplasia of the hip: does bilateral dysplasia have a poorer outcome? J Bone Joint Surg Am 2013; 95:1081–1086.
Sankar WN, Young CR, Lin AG, Crow SA, Baldwin KD, Moseley CF. Risk factors for failure after open reduction for DDH: a matched cohort analysis. J Pediatr Orthop 2011; 31:232–239.
Kamath SU, Bennet GC. Re-dislocation following open reduction for developmental dysplasia of the hip. Int Orthop 2005; 29:191–194.