Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip: a new method of treatment
We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hi...
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Veröffentlicht in: | The bone & joint journal 2015-03, Vol.97-B (3), p.405-411 |
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creator | Fukiage, K Futami, T Ogi, Y Harada, Y Shimozono, F Kashiwagi, N Takase, T Suzuki, S |
description | We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p = 0.018). This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods. |
doi_str_mv | 10.1302/0301-620X.97B3.34287 |
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During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p = 0.018). This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods.</description><identifier>ISSN: 2049-4394</identifier><identifier>EISSN: 2049-4408</identifier><identifier>DOI: 10.1302/0301-620X.97B3.34287</identifier><identifier>PMID: 25737526</identifier><language>eng</language><publisher>England</publisher><subject>Female ; Hip Dislocation, Congenital - diagnosis ; Hip Dislocation, Congenital - surgery ; Hip Dislocation, Congenital - therapy ; Humans ; Infant ; Infant, Newborn ; Magnetic Resonance Imaging ; Male ; Retrospective Studies ; Traction - methods ; Treatment Outcome ; Ultrasonography, Interventional</subject><ispartof>The bone & joint journal, 2015-03, Vol.97-B (3), p.405-411</ispartof><rights>2015 The British Editorial Society of Bone & Joint Surgery.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c256t-4bad26ee304a73eda3027db4b38f4d95ddcade0ead892a1f1be23fcfeb39778e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25737526$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fukiage, K</creatorcontrib><creatorcontrib>Futami, T</creatorcontrib><creatorcontrib>Ogi, Y</creatorcontrib><creatorcontrib>Harada, Y</creatorcontrib><creatorcontrib>Shimozono, F</creatorcontrib><creatorcontrib>Kashiwagi, N</creatorcontrib><creatorcontrib>Takase, T</creatorcontrib><creatorcontrib>Suzuki, S</creatorcontrib><title>Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip: a new method of treatment</title><title>The bone & joint journal</title><addtitle>Bone Joint J</addtitle><description>We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p = 0.018). This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods.</description><subject>Female</subject><subject>Hip Dislocation, Congenital - diagnosis</subject><subject>Hip Dislocation, Congenital - surgery</subject><subject>Hip Dislocation, Congenital - therapy</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Traction - methods</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Interventional</subject><issn>2049-4394</issn><issn>2049-4408</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kctu1TAQhi0EaqvSN6iQl2xy8C03dlBRQKrEhkrsrElmfE5QYgc7BvogfV-Snh5m4xnP_P_I_hi7lmIntVDvhBayqJT4sWvrj3qnjWrqF-xCCdMWxojm5SnXrTlnVyn9FGs0Qkojz9i5Kmtdl6q6YI_34xIhheyx2OcBCfk-AmYYeSTM_TIEz3Ma_J67kf5uFXjk0J16ffDL4HPIia9GxzsXIkf6TWOYJ_LL6oUPaR4hDcCD48uB-GGY33Pgnv7wiZZDwKdGJFg2xWv2ysGY6Or5vGT3t5--33wp7r59_nrz4a7oVVkthekAVUWkhYFaE8L6NTV2ptONM9iWiD0gCQJsWgXSyY6Udr2jTrd13ZC-ZG-PvnMMvzKlxU5D6mkcwdP6IiurSrSq1K1eR81xtI8hpUjOznGYID5YKezGxG5M7MbEbkzsE5NV9uZ5Q-4mwv-iEwH9DxVMjG0</recordid><startdate>201503</startdate><enddate>201503</enddate><creator>Fukiage, K</creator><creator>Futami, T</creator><creator>Ogi, Y</creator><creator>Harada, Y</creator><creator>Shimozono, F</creator><creator>Kashiwagi, N</creator><creator>Takase, T</creator><creator>Suzuki, S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201503</creationdate><title>Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip: a new method of treatment</title><author>Fukiage, K ; Futami, T ; Ogi, Y ; Harada, Y ; Shimozono, F ; Kashiwagi, N ; Takase, T ; Suzuki, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c256t-4bad26ee304a73eda3027db4b38f4d95ddcade0ead892a1f1be23fcfeb39778e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Female</topic><topic>Hip Dislocation, Congenital - diagnosis</topic><topic>Hip Dislocation, Congenital - surgery</topic><topic>Hip Dislocation, Congenital - therapy</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Retrospective Studies</topic><topic>Traction - methods</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fukiage, K</creatorcontrib><creatorcontrib>Futami, T</creatorcontrib><creatorcontrib>Ogi, Y</creatorcontrib><creatorcontrib>Harada, Y</creatorcontrib><creatorcontrib>Shimozono, F</creatorcontrib><creatorcontrib>Kashiwagi, N</creatorcontrib><creatorcontrib>Takase, T</creatorcontrib><creatorcontrib>Suzuki, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The bone & joint journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fukiage, K</au><au>Futami, T</au><au>Ogi, Y</au><au>Harada, Y</au><au>Shimozono, F</au><au>Kashiwagi, N</au><au>Takase, T</au><au>Suzuki, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip: a new method of treatment</atitle><jtitle>The bone & joint journal</jtitle><addtitle>Bone Joint J</addtitle><date>2015-03</date><risdate>2015</risdate><volume>97-B</volume><issue>3</issue><spage>405</spage><epage>411</epage><pages>405-411</pages><issn>2049-4394</issn><eissn>2049-4408</eissn><abstract>We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p = 0.018). This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods.</abstract><cop>England</cop><pmid>25737526</pmid><doi>10.1302/0301-620X.97B3.34287</doi><tpages>7</tpages></addata></record> |
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subjects | Female Hip Dislocation, Congenital - diagnosis Hip Dislocation, Congenital - surgery Hip Dislocation, Congenital - therapy Humans Infant Infant, Newborn Magnetic Resonance Imaging Male Retrospective Studies Traction - methods Treatment Outcome Ultrasonography, Interventional |
title | Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip: a new method of treatment |
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