RESULTS OF THE EARLY TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP

RESULTS OF THE EARLY TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP

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Title: RESULTS OF THE EARLY TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP
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Article_Title: RESULTS OF THE EARLY TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP
Authors: Dana Vasilescu, Dan Cosma
Affiliation: University of Medicine and Pharmacy “Iuliu Haţieganu” Cluj-Napoca
13, E. Isac st., 400023 Cluj-Napoca, România
Abstract: This paper aims to present our considerations on the advantages of early clinical and paraclinical diagnosis, followed by early initiation of treatment in developmental dysplasia of the hip (DDH). We studied the new cases presenting for consultation with the suspicion of developmental dysplasia of the hip in the ambulatory section of Pediatric Orthopedics of the Clinical Rehabilitation Hospital Cluj-Napoca, in the period 2011-2012. DDH treatment should be staged from simple to complex and extended, with all the caution required, for the prevention of complications: abduction pants, abduction devices, traction in bed, tenotomy, plaster immobilization, surgery (bleeding reduction, various types of osteotomy, followed by plaster immobilization).
Keywords:
References: 1. Almby, B., Hjelmstedt, A., Lonnerholm, T., Neonatal hip instability. Reason for failure of early abduction treatment, Acta Orthop Scand, 50, 315, 1979.
2. Almby, B., Rehnbreg, L., Neonatal hip instability. Incidence, diagnosis and treatment at the University hospital, Uppsala, 1960-1964 and 1970-1974, Acta Orthop Scand, 48, 642, 1977.
3. Artz, T.D., Levine, D.B., Lim, W.N., Salvata, E.A., Wilson, P.D., Neonatal diagnosis, treatment and related factors of congenital dislocation of the hip, Clin Orthop, 110, 112, 1975.
4. Barlow, T.G., Early diagnosis and treatment of congenital dislocation of the hip, J Bone Joint Surg, 44B, 292, 1966.
5. Barlow, T.G., Early diagnosis and treatment of congenital dislocation of the hip in the newborn, Proc R Soc Med, 59, 1103, 1966.
6. Campos da Paz, A., Kalil, R.K., Congenital dislocation of the hip in the newborn. A correction of clinical, roentgenographic and anatomical findings, Ital J Orthop Traumatol, 2, 261, 1976.
7. Cole, W.G., Evaluation of a teaching model for the early diagnosis of congenital dislocation of the hip, J Pediatr Orthop, 3, 2, 1983.
8. Coleman, S.S., Treatment of congenital dislocation of the hip in the infant, J Bone Joint Surg, 47A, 590, 1965.
9. Connoly, J.F., Early diagnosis and misdiagnosis of congenital dislocated hip, Nebr Med, 60, 471, 1975.
10. Cyvin, K.B., Unsatisfactory results of early treatment of infants with unstable hips at birth, Acta Orthop Scand, 48, 665, 1977.
11. Dabadie, J., La prevention de la luxation congenitale de la hanche en milieu obstetrical, Rev Fr Gynecol Obstet, 65, 45, 1970.
12. Davies, S.J.M., Walker, G., Problems in the early recognition of hip dysplasia, J Bone Joint Surg, 66B, 479, 1984.
Read_full_article: pdf/vol16/iss1-4/3 JMA  2013 Vasilescu Dana.pdf
Correspondence: drvasilescu@yahoo.com

Read full article
Article Title: RESULTS OF THE EARLY TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP
Authors: Dana Vasilescu, Dan Cosma
Affiliation: University of Medicine and Pharmacy “Iuliu Haţieganu” Cluj-Napoca
13, E. Isac st., 400023 Cluj-Napoca, România
Abstract: This paper aims to present our considerations on the advantages of early clinical and paraclinical diagnosis, followed by early initiation of treatment in developmental dysplasia of the hip (DDH). We studied the new cases presenting for consultation with the suspicion of developmental dysplasia of the hip in the ambulatory section of Pediatric Orthopedics of the Clinical Rehabilitation Hospital Cluj-Napoca, in the period 2011-2012. DDH treatment should be staged from simple to complex and extended, with all the caution required, for the prevention of complications: abduction pants, abduction devices, traction in bed, tenotomy, plaster immobilization, surgery (bleeding reduction, various types of osteotomy, followed by plaster immobilization).
Keywords:
References: 1. Almby, B., Hjelmstedt, A., Lonnerholm, T., Neonatal hip instability. Reason for failure of early abduction treatment, Acta Orthop Scand, 50, 315, 1979.
2. Almby, B., Rehnbreg, L., Neonatal hip instability. Incidence, diagnosis and treatment at the University hospital, Uppsala, 1960-1964 and 1970-1974, Acta Orthop Scand, 48, 642, 1977.
3. Artz, T.D., Levine, D.B., Lim, W.N., Salvata, E.A., Wilson, P.D., Neonatal diagnosis, treatment and related factors of congenital dislocation of the hip, Clin Orthop, 110, 112, 1975.
4. Barlow, T.G., Early diagnosis and treatment of congenital dislocation of the hip, J Bone Joint Surg, 44B, 292, 1966.
5. Barlow, T.G., Early diagnosis and treatment of congenital dislocation of the hip in the newborn, Proc R Soc Med, 59, 1103, 1966.
6. Campos da Paz, A., Kalil, R.K., Congenital dislocation of the hip in the newborn. A correction of clinical, roentgenographic and anatomical findings, Ital J Orthop Traumatol, 2, 261, 1976.
7. Cole, W.G., Evaluation of a teaching model for the early diagnosis of congenital dislocation of the hip, J Pediatr Orthop, 3, 2, 1983.
8. Coleman, S.S., Treatment of congenital dislocation of the hip in the infant, J Bone Joint Surg, 47A, 590, 1965.
9. Connoly, J.F., Early diagnosis and misdiagnosis of congenital dislocated hip, Nebr Med, 60, 471, 1975.
10. Cyvin, K.B., Unsatisfactory results of early treatment of infants with unstable hips at birth, Acta Orthop Scand, 48, 665, 1977.
11. Dabadie, J., La prevention de la luxation congenitale de la hanche en milieu obstetrical, Rev Fr Gynecol Obstet, 65, 45, 1970.
12. Davies, S.J.M., Walker, G., Problems in the early recognition of hip dysplasia, J Bone Joint Surg, 66B, 479, 1984.
*Correspondence: drvasilescu@yahoo.com