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

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

Journal of Pediatric Orthopaedics B: March 2013 - Volume 22 - Issue 2 - p 85–90
doi: 10.1097/BPB.0b013e32835b7c98

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.

aDepartment of Orthopaedic Surgery

bDepartment of Anaesthesiology and Intensive Care, University of Debrecen Medical and Health Science Center, Debrecen, Hungary

Correspondence to Professor Kálmán Szepesi, MD, Department of Orthopaedic Surgery, University of Debrecen, Medical and Health Science Centre, 4032 Debrecen, Nagyeredei krt. 98, Hungary Tel: +36 52 255815; fax: +36 52 255814; e-mail:

© 2013 Lippincott Williams & Wilkins, Inc.