Book chapter
Developmental Dysplasia of the Hip in Young Children
The Pediatric and Adolescent Hip, pp.75-129
Springer International Publishing
06/29/2019
DOI: 10.1007/978-3-030-12003-0_4
Abstract
Developmental dysplasia of the hip (DDH) in the newborn describes a wide spectrum of pathologic disorders of the hip, ranging from subtle dysplasia of the acetabulum to irreducible hip dislocation. At all ages of treatment, the primary goal is to obtain a concentric reduction of the femoral head within the acetabulum while minimizing the risk for avascular necrosis or other complications. When recognized in the first 6 months of life, DDH is typically successfully treated with simple outpatient based harness therapy (Pavlik) and routinely results in excellent outcomes. After 6 months of age, closed reduction, open reduction, and femoral and pelvic osteotomies are more often required as treatment modalities. Each treatment decision should be considered thoughtfully in each unique patient encounter, with the overriding goal of obtaining a concentrically reduced hip joint while minimizing complications always at the forefront.
Details
- Title: Subtitle
- Developmental Dysplasia of the Hip in Young Children
- Creators
- Stuart L. Weinstein - University of Iowa Hospitals and ClinicsJoshua B. Holt - University of Iowa Hospitals and Clinics
- Resource Type
- Book chapter
- Publication Details
- The Pediatric and Adolescent Hip, pp.75-129
- DOI
- 10.1007/978-3-030-12003-0_4
- Publisher
- Springer International Publishing; Cham
- Language
- English
- Date published
- 06/29/2019
- Academic Unit
- Stead Family Department of Pediatrics; Orthopedics and Rehabilitation
- Record Identifier
- 9984305883302771
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