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Erschienen in: International Orthopaedics 4/2006

01.08.2006 | Original Paper

The value of preliminary overhead traction in the closed management of DDH

verfasst von: Marcin Sibiński, Claire Murnaghan, Marek Synder

Erschienen in: International Orthopaedics | Ausgabe 4/2006

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Abstract

We aimed to discover whether there is a difference in incidence of growth disturbances of the proximal femoral epiphysis and final results in two similar groups of children with developmental dislocation of the hip (DDH) treated with (107 hips) and without (48 hips) overhead traction. The only variable between the groups was the use of preliminary traction. All children were followed up until at least the age of 14 years. Pre-reduction traction should be used among children treated non-operatively for DDH who are older than one year of age and/or have high-dislocated hips. In cases that are diagnosed late, this treatment would reduce the risk of severe growth disturbances and increase the probability of a favourable long-term outcome.
Literatur
1.
Zurück zum Zitat Bednarczyk K, Szulc W (1988) Leczenie wrodzonego zwichnięcia stawu biodrowego wycigiem ponad głow. Chir Narz Ruchu Ortop Pol 2:106–112 Bednarczyk K, Szulc W (1988) Leczenie wrodzonego zwichnięcia stawu biodrowego wycigiem ponad głow. Chir Narz Ruchu Ortop Pol 2:106–112
2.
Zurück zum Zitat Brougham DI, Broughton NS, Cole WG, Menelaus MB (1990) Avascular necrosis following closed reduction of congenital dislocation of the hip. Review of influencing factors and long-term follow-up. J Bone Joint Surg Br 72:557–562PubMed Brougham DI, Broughton NS, Cole WG, Menelaus MB (1990) Avascular necrosis following closed reduction of congenital dislocation of the hip. Review of influencing factors and long-term follow-up. J Bone Joint Surg Br 72:557–562PubMed
3.
Zurück zum Zitat Buchanan JR, Greer RB 3rd, Cotler JM (1981) Management strategy for prevention of avascular necrosis during treatment of congenital dislocation of the hip. J Bone Joint Surg Am 63:140–146PubMed Buchanan JR, Greer RB 3rd, Cotler JM (1981) Management strategy for prevention of avascular necrosis during treatment of congenital dislocation of the hip. J Bone Joint Surg Am 63:140–146PubMed
4.
Zurück zum Zitat Bucholz RW, Ogden JA (1978) Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip. Proceedings of the Sixth Open Scientific Meeting of the Hip Society. Mosby, St. Louis, pp 43–63 Bucholz RW, Ogden JA (1978) Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip. Proceedings of the Sixth Open Scientific Meeting of the Hip Society. Mosby, St. Louis, pp 43–63
5.
Zurück zum Zitat Cooperman DR, Wallensten R, Stulberg SD (1983) Acetabular dysplasia in the adult. Clin Orthop 175:79–85PubMed Cooperman DR, Wallensten R, Stulberg SD (1983) Acetabular dysplasia in the adult. Clin Orthop 175:79–85PubMed
6.
Zurück zum Zitat Daoud A, Saighi-Bououina A (1996) Congenital dislocation of the hip in the older child. The effectiveness of overhead traction. J Bone Joint Surg Am 78:30–40PubMed Daoud A, Saighi-Bououina A (1996) Congenital dislocation of the hip in the older child. The effectiveness of overhead traction. J Bone Joint Surg Am 78:30–40PubMed
7.
Zurück zum Zitat DeRosa GP, Feller N (1987) Treatment of congenital dislocation of the hip. Management before walking age. Clin Orthop Relat Res 225:77–85PubMed DeRosa GP, Feller N (1987) Treatment of congenital dislocation of the hip. Management before walking age. Clin Orthop Relat Res 225:77–85PubMed
8.
Zurück zum Zitat Gregosiewicz A, Wośko I (1988) Risk factors of avascular necrosis in the treatment of congenital dislocation of the hip. J Pediatr Orthop 8:17–19PubMed Gregosiewicz A, Wośko I (1988) Risk factors of avascular necrosis in the treatment of congenital dislocation of the hip. J Pediatr Orthop 8:17–19PubMed
9.
Zurück zum Zitat Hilgenreiner H (1925) Zur frühdiagnose und frühbehandlung der angeborenen hüftgelenksverrenkung. Med Klin 21:1385–1388, 1425–1429 Hilgenreiner H (1925) Zur frühdiagnose und frühbehandlung der angeborenen hüftgelenksverrenkung. Med Klin 21:1385–1388, 1425–1429
10.
Zurück zum Zitat Kahle WK, Anderson MB, Alpert J, Stevens PM, Coleman SS (1990) The value of preliminary traction in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 72:1043–1047PubMed Kahle WK, Anderson MB, Alpert J, Stevens PM, Coleman SS (1990) The value of preliminary traction in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 72:1043–1047PubMed
11.
Zurück zum Zitat Kalamchi A, MacEwen GD (1980) Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 62:876–888PubMed Kalamchi A, MacEwen GD (1980) Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 62:876–888PubMed
12.
Zurück zum Zitat Kutlu A, Ayata C, Ogun TC, Kapicioglu MI, Mutlu M (2000) Preliminary traction as a single determinant of avascular necrosis in developmental dislocation of the hip. J Pediatr Orthop 5:579–584 Kutlu A, Ayata C, Ogun TC, Kapicioglu MI, Mutlu M (2000) Preliminary traction as a single determinant of avascular necrosis in developmental dislocation of the hip. J Pediatr Orthop 5:579–584
13.
Zurück zum Zitat Lange M (1931) Zur frage der femurkopfverunstaltung nach unblutig eingerenketnen angeborenen huftluxationen. ROFO 44:227–234 Lange M (1931) Zur frage der femurkopfverunstaltung nach unblutig eingerenketnen angeborenen huftluxationen. ROFO 44:227–234
14.
Zurück zum Zitat Langenskiöld A, Paavilainen T (2000) The effect of prereduction traction on the results of closed reduction of developmental dislocation of the hip. J Pediatr Orthop 4:471–474CrossRef Langenskiöld A, Paavilainen T (2000) The effect of prereduction traction on the results of closed reduction of developmental dislocation of the hip. J Pediatr Orthop 4:471–474CrossRef
15.
Zurück zum Zitat Malvitz TA, Weinstein SL (1994) Closed reduction for congenital dysplasia of the hip. J Bone Joint Surg Am 12:1777–1792 Malvitz TA, Weinstein SL (1994) Closed reduction for congenital dysplasia of the hip. J Bone Joint Surg Am 12:1777–1792
16.
Zurück zum Zitat Mose K, Hjorth L, Ulfeldt M, Christensen ER, Jensen A (1977) Legg-Calvé-Perthes’ disease: the late occurrence of coxarthrosis. Acta Orthop Scand Suppl 169:1–39PubMed Mose K, Hjorth L, Ulfeldt M, Christensen ER, Jensen A (1977) Legg-Calvé-Perthes’ disease: the late occurrence of coxarthrosis. Acta Orthop Scand Suppl 169:1–39PubMed
17.
Zurück zum Zitat Segal LS, Boal DK, Borthwick L, Schwentker EP, Clark MW (1999) Avascular necrosis following treatment of DDH: the protective influence of the ossific nucleus. J Pediatr Orthop 4:177–184 Segal LS, Boal DK, Borthwick L, Schwentker EP, Clark MW (1999) Avascular necrosis following treatment of DDH: the protective influence of the ossific nucleus. J Pediatr Orthop 4:177–184
18.
Zurück zum Zitat Severin E (1941) Contribution of the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 63 (Suppl.):84 Severin E (1941) Contribution of the knowledge of congenital dislocation of the hip joint. Late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 63 (Suppl.):84
19.
Zurück zum Zitat Sharp IK (1961) Acetabular dysplasia. The acetabular angle. J Bone Joint Surg Br 43:268–272 Sharp IK (1961) Acetabular dysplasia. The acetabular angle. J Bone Joint Surg Br 43:268–272
20.
Zurück zum Zitat Smith JT, Bagdley CE, Orwig JB, Harper JM (1968) Correlation of postreduction roentgenograms and thirty-one-year follow-up in congenital dislocation of the hip. J Bone Joint Surg Am 50:1081–1098PubMed Smith JT, Bagdley CE, Orwig JB, Harper JM (1968) Correlation of postreduction roentgenograms and thirty-one-year follow-up in congenital dislocation of the hip. J Bone Joint Surg Am 50:1081–1098PubMed
21.
Zurück zum Zitat Tönnis D (1987) Congenital dysplasia and dislocation of the hip in children and adults. Springer-Verlag, Berlin Heidelberg New York Tönnis D (1987) Congenital dysplasia and dislocation of the hip in children and adults. Springer-Verlag, Berlin Heidelberg New York
22.
Zurück zum Zitat Weiner DS, Hoyt WA Jr, O’Dell HW (1977) Congenital dislocation of the hip. The relationship of premanipulation traction and age to avascular necrosis of the femoral head. J Bone Joint Surg Am 3:306–311 Weiner DS, Hoyt WA Jr, O’Dell HW (1977) Congenital dislocation of the hip. The relationship of premanipulation traction and age to avascular necrosis of the femoral head. J Bone Joint Surg Am 3:306–311
23.
Zurück zum Zitat Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis. Acta Chir Scand Suppl 83:58 Wiberg G (1939) Studies on dysplastic acetabula and congenital subluxation of the hip joint: with special reference to the complication of osteoarthritis. Acta Chir Scand Suppl 83:58
24.
Zurück zum Zitat Zwierzchowski H (1963) Badania nad ukształtowaniem stawu biodrowego pozornie zdrowego w przypadkach jednostronnego, wrodzonego zwichnięcia biodra. Chir Narz Ruchu Ortop Pol 28:925–930 Zwierzchowski H (1963) Badania nad ukształtowaniem stawu biodrowego pozornie zdrowego w przypadkach jednostronnego, wrodzonego zwichnięcia biodra. Chir Narz Ruchu Ortop Pol 28:925–930
Metadaten
Titel
The value of preliminary overhead traction in the closed management of DDH
verfasst von
Marcin Sibiński
Claire Murnaghan
Marek Synder
Publikationsdatum
01.08.2006
Verlag
Springer-Verlag
Erschienen in
International Orthopaedics / Ausgabe 4/2006
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-006-0080-4

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