Preliminary Traction as a Single Determinant of Avascular Necrosis in Developmental Dislocation of the Hip
The role of preliminary traction before closed reduction in the treatment of developmental dysplasia of the hip has been questioned by many authors lately. However, the studies advocating or opposing the use of this treatment modality include several other parameters besides traction. Thus, it is un...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 2000-09, Vol.20 (5), p.579-584 |
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| container_title | Journal of pediatric orthopaedics |
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| creator | Kutlu, Abdurrahman Ayata, Cafer Öğün, Tunç Cevat Safa Kapicioğlu, M I Mutlu, Mahmut |
| description | The role of preliminary traction before closed reduction in the treatment of developmental dysplasia of the hip has been questioned by many authors lately. However, the studies advocating or opposing the use of this treatment modality include several other parameters besides traction. Thus, it is unclear whether the affection is the result of preliminary traction or concurrent variables such as the “human position.” This study aimed to put forward the effect of preliminary traction as a single determinant of avascular necrosis. We had two groups of patients who had developmental dislocation of the hip. The first group consisted of 52 patients treated with preliminary traction before closed reduction and the other group comprised 40 patients treated with closed reduction without preliminary traction. Both groups were similar in age, gender, side, level of dislocation, and method and duration of immobilization. Three patients from the first group developed avascular necrosis, which was not statistically significant. Preliminary traction did not affect the rate of avascular necrosis. |
| doi_str_mv | 10.1097/00004694-200009000-00007 |
| format | Article |
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However, the studies advocating or opposing the use of this treatment modality include several other parameters besides traction. Thus, it is unclear whether the affection is the result of preliminary traction or concurrent variables such as the “human position.” This study aimed to put forward the effect of preliminary traction as a single determinant of avascular necrosis. We had two groups of patients who had developmental dislocation of the hip. The first group consisted of 52 patients treated with preliminary traction before closed reduction and the other group comprised 40 patients treated with closed reduction without preliminary traction. Both groups were similar in age, gender, side, level of dislocation, and method and duration of immobilization. Three patients from the first group developed avascular necrosis, which was not statistically significant. Preliminary traction did not affect the rate of avascular necrosis.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/00004694-200009000-00007</identifier><identifier>PMID: 11008735</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Age Factors ; Biological and medical sciences ; Data Interpretation, Statistical ; Diseases of the osteoarticular system. Orthopedic treatment ; Female ; Femur Head Necrosis - etiology ; Follow-Up Studies ; Hip Dislocation - diagnostic imaging ; Hip Dislocation - surgery ; Humans ; Immobilization ; Infant ; Male ; Medical sciences ; Preoperative Care ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Surveys and Questionnaires ; Time Factors ; Tomography, X-Ray Computed ; Traction - adverse effects</subject><ispartof>Journal of pediatric orthopaedics, 2000-09, Vol.20 (5), p.579-584</ispartof><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c2327-c80c4401fbef89a6cf79e6e3a9048247f788b087563fe7a69dd7647136d8bf193</citedby><cites>FETCH-LOGICAL-c2327-c80c4401fbef89a6cf79e6e3a9048247f788b087563fe7a69dd7647136d8bf193</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1526436$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11008735$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kutlu, Abdurrahman</creatorcontrib><creatorcontrib>Ayata, Cafer</creatorcontrib><creatorcontrib>Öğün, Tunç Cevat</creatorcontrib><creatorcontrib>Safa Kapicioğlu, M I</creatorcontrib><creatorcontrib>Mutlu, Mahmut</creatorcontrib><title>Preliminary Traction as a Single Determinant of Avascular Necrosis in Developmental Dislocation of the Hip</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>The role of preliminary traction before closed reduction in the treatment of developmental dysplasia of the hip has been questioned by many authors lately. However, the studies advocating or opposing the use of this treatment modality include several other parameters besides traction. Thus, it is unclear whether the affection is the result of preliminary traction or concurrent variables such as the “human position.” This study aimed to put forward the effect of preliminary traction as a single determinant of avascular necrosis. We had two groups of patients who had developmental dislocation of the hip. The first group consisted of 52 patients treated with preliminary traction before closed reduction and the other group comprised 40 patients treated with closed reduction without preliminary traction. Both groups were similar in age, gender, side, level of dislocation, and method and duration of immobilization. Three patients from the first group developed avascular necrosis, which was not statistically significant. Preliminary traction did not affect the rate of avascular necrosis.</description><subject>Age Factors</subject><subject>Biological and medical sciences</subject><subject>Data Interpretation, Statistical</subject><subject>Diseases of the osteoarticular system. Orthopedic treatment</subject><subject>Female</subject><subject>Femur Head Necrosis - etiology</subject><subject>Follow-Up Studies</subject><subject>Hip Dislocation - diagnostic imaging</subject><subject>Hip Dislocation - surgery</subject><subject>Humans</subject><subject>Immobilization</subject><subject>Infant</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Preoperative Care</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed</subject><subject>Traction - adverse effects</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV1PHCEUhklTU1fbv2C4ML0by9fwcWnU1iammqjXhGUPLpaZWWFG039fxt3WRBLCCXneAzwghCk5ocSob6QOIY1o2FyZOpu5UB_QgrbcNKxV5CNaEKZoI5XR--iglEdCqOKCf0L7lBKiFW8X6PEmQ4pd7F3-g--y82MceuwKdvg29g8J8DmMkGegH_EQ8OmzK35KLuNf4PNQYsGxr9AzpGHTQT-6hM9jSYN3r61qZFwDvoybz2gvuFTgy249RPffL-7OLpur6x8_z06vGs84U43XxAtBaFhC0MZJH5QBCdwZIjQTKiitl_X2reQBlJNmtVJSKMrlSi8DNfwQfd323eThaYIy2i4WDym5HoapWMWYUULSCuotOL-jZAh2k2NXRVhK7OzZ_vNs_3t-3VI1erQ7Y1p2sHoL7sRW4HgHVF0uhex6H8sb1zIpuKyY2GIvQ6qay-80vUC2a3BpXFtCmaDc6PffzP8CN5eUvw</recordid><startdate>200009</startdate><enddate>200009</enddate><creator>Kutlu, Abdurrahman</creator><creator>Ayata, Cafer</creator><creator>Öğün, Tunç Cevat</creator><creator>Safa Kapicioğlu, M I</creator><creator>Mutlu, Mahmut</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott</general><scope>IQODW</scope><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>200009</creationdate><title>Preliminary Traction as a Single Determinant of Avascular Necrosis in Developmental Dislocation of the Hip</title><author>Kutlu, Abdurrahman ; Ayata, Cafer ; Öğün, Tunç Cevat ; Safa Kapicioğlu, M I ; Mutlu, Mahmut</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2327-c80c4401fbef89a6cf79e6e3a9048247f788b087563fe7a69dd7647136d8bf193</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Age Factors</topic><topic>Biological and medical sciences</topic><topic>Data Interpretation, Statistical</topic><topic>Diseases of the osteoarticular system. Orthopedic treatment</topic><topic>Female</topic><topic>Femur Head Necrosis - etiology</topic><topic>Follow-Up Studies</topic><topic>Hip Dislocation - diagnostic imaging</topic><topic>Hip Dislocation - surgery</topic><topic>Humans</topic><topic>Immobilization</topic><topic>Infant</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Preoperative Care</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed</topic><topic>Traction - adverse effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kutlu, Abdurrahman</creatorcontrib><creatorcontrib>Ayata, Cafer</creatorcontrib><creatorcontrib>Öğün, Tunç Cevat</creatorcontrib><creatorcontrib>Safa Kapicioğlu, M I</creatorcontrib><creatorcontrib>Mutlu, Mahmut</creatorcontrib><collection>Pascal-Francis</collection><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>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kutlu, Abdurrahman</au><au>Ayata, Cafer</au><au>Öğün, Tunç Cevat</au><au>Safa Kapicioğlu, M I</au><au>Mutlu, Mahmut</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Preliminary Traction as a Single Determinant of Avascular Necrosis in Developmental Dislocation of the Hip</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>2000-09</date><risdate>2000</risdate><volume>20</volume><issue>5</issue><spage>579</spage><epage>584</epage><pages>579-584</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>The role of preliminary traction before closed reduction in the treatment of developmental dysplasia of the hip has been questioned by many authors lately. However, the studies advocating or opposing the use of this treatment modality include several other parameters besides traction. Thus, it is unclear whether the affection is the result of preliminary traction or concurrent variables such as the “human position.” This study aimed to put forward the effect of preliminary traction as a single determinant of avascular necrosis. We had two groups of patients who had developmental dislocation of the hip. The first group consisted of 52 patients treated with preliminary traction before closed reduction and the other group comprised 40 patients treated with closed reduction without preliminary traction. Both groups were similar in age, gender, side, level of dislocation, and method and duration of immobilization. Three patients from the first group developed avascular necrosis, which was not statistically significant. Preliminary traction did not affect the rate of avascular necrosis.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>11008735</pmid><doi>10.1097/00004694-200009000-00007</doi><tpages>6</tpages></addata></record> |
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| subjects | Age Factors Biological and medical sciences Data Interpretation, Statistical Diseases of the osteoarticular system. Orthopedic treatment Female Femur Head Necrosis - etiology Follow-Up Studies Hip Dislocation - diagnostic imaging Hip Dislocation - surgery Humans Immobilization Infant Male Medical sciences Preoperative Care Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Surveys and Questionnaires Time Factors Tomography, X-Ray Computed Traction - adverse effects |
| title | Preliminary Traction as a Single Determinant of Avascular Necrosis in Developmental Dislocation of the Hip |
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