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Journal of Pediatric Orthopaedics B:
doi: 10.1097/BPB.0b013e32835b7c98
Hip & Femur

Long-term follow-up of DDH patients who underwent open reduction without a postoperative cast

Szepesi, Kálmána; Szücs, Gabriellab; Szeverényi, Csengea; Csernátony, Zoltána

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Abstract

We present the results – assessed after bony maturation – of an early anterior approach open reduction performed using our modified technique on 49 hips at 6–24 months of age. We start postoperative functional treatment using a Pavlik harness and an abduction splint, abandoning plaster cast. Secondary surgeries were performed in 11 hips (22.4%) at 3–7 years of age. Our results were ‘satisfactory’ (Severin Grade I, II) in 96% of the cases. According to the joints’ Severin Grade, the total hip replacement probability at an early age is 8.16% in our series. Our principles and practice, introduced in 1980 in terms of secondary surgeries, are in total harmony with the recent literature.

© 2013 Lippincott Williams & Wilkins, Inc.

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