Early diagnosis and treatment of developmental dysplasia of the hip using a Pavlik harness in infants and surgical reduction with osteotomies in older children are critical for preventing early coxarthrosis.
Early diagnosis and appropriate management, including pelvic osteotomy for residual dysplasia, are essential in treating Developmental Dysplasia of the Hip to prevent early coxarthrosis.
Developmental dysplasia of the hip (DDH) is a complex disorder that refers to different hip problems, ranging from neonatal instability to acetabular or femoral dysplasia, hip subluxation, and hip dislocation. It may result in structural modifications, which may lead to early coxarthrosis. Despite identifying the risk factors, the exact aetiology and pathophysiology are still unclear. Neonatal screening, along with physical examination and ultrasound, is critical for the early diagnosis of DDH to prevent the occurrence of early coxarthrosis. This review summarizes the currently practised strategies for the detection and treatment of DDH, focusing particularly on current practices for managing residual acetabular dysplasia (AD). AD may persist even after a successful hip reduction. Pelvic osteotomy is required in cases of persistent AD. It could also be undertaken simultaneously with an open hip reduction. Evaluation of the residual dysplasia (RD) of the hip and its management is still a highly active area of discussion. Recent research has opened the door to discussion on this issue and suggested treatment options for AD. But there is still room for more research to assist in managing AD.
Bakarman et al. (Wed,) conducted a review in Developmental Dysplasia of the Hip (DDH). Screening and management strategies was evaluated. Early diagnosis and treatment of developmental dysplasia of the hip using a Pavlik harness in infants and surgical reduction with osteotomies in older children are critical for preventing early coxarthrosis.