Why the study?
Does closed reduction effectively treat complex developmental dislocation of the hip based on cone of stability and limbus type?
Does closed reduction effectively treat complex developmental dislocation of the hip based on cone of stability and limbus type?
Arthrography and examination under anesthesia can identify factors (cone of stability and limbus type) to guide the choice between closed and open reduction for complex developmental hip dislocation.
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May aid closed vs open reduction decisions in complex DDH; hypothesis-generating and requires prospective validation.
The purpose of our study was to determine the efficacy of closed reduction in the treatment of complex developmental dislocation of the hip. We identified two factors, the cone of stability and the limbus type, through the use of arthrography and gentle examination under anesthesia, which are useful guidelines in the management of complex developmental dislocation of the hip. We feel as a result of this study we can select those cases of complex developmental dislocation of the hip that are amenable to closed reduction and separate them from those other cases for which we recommend open reduction.
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Fleissner et al. (1994) studied this question.
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