Two-directional arthrographic assessment for treating bilateral development dislocation of the hips in children after walking age

Hirosuke Endoa, Hirofumi Akazawa, Shigeru Mitani, Yoshiki Okada, Kentaro Yamane, Toshifumi Ozaki

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

We reviewed the treatment outcome in 14 hips of 7 patients who were diagnosed as having bilateral developmental dislocation of the hip (DDH) after walking age and could be followed up until they were at least 14 years of age. Based on the results of two-directional arthrography of the hip, closed reduction was performed in 2 hips, and open reduction was performed without osteotomy in 12 hips. The final radiographic evaluations were made according to the Kalamchi and MacEwen classification and Severin classification. The mean age at the initial visit was 1 year and 9 months (range, 1 year and 5 months to 3 years). The outcome was satisfactory for one hip in Group I and 2 hips in Group II according to the Kalamchi and MacEwen classification, and in 83% of the Severin Class I and II hips. Arthrography was useful for identifying asymmetry, demonstrating the usefulness of a treatment strategy based on arthrography of the hip.

Original languageEnglish
Pages (from-to)201-206
Number of pages6
JournalActa medica Okayama
Volume68
Issue number4
Publication statusPublished - 2014

Keywords

  • After walking age
  • Arthrogram
  • Bilateral case
  • Developmental dislocation of the hip
  • Open reduction

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)

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