Universal ultrasound screening and early treatment of developmental dysplasia of the hip: a critical review.

Developmental dysplasia of the hip (DDH) is the most common musculoskeletal disease in infants, and delayed diagnosis can worsen the prognosis. Clinical evidence increasingly supports universal ultrasound (US) screening over selective US screening. The Graf method remains the most widely accepted US technique.

Revision open reduction in developmental dysplasia of the hip.

Purpose: Re-dislocation after open reduction remains a challenge in the treatment of developmental dysplasia of the hip (DDH). Few geographically and temporally diverse reports exist on the topic. The aim of this study was to uncover the outcome in a group of DDH patients who underwent repeat open reduction.

Watchful waiting for the undisplaced hip dysplasia when undergoing contralateral hip reconstruction.

Purpose: Patients undergoing surgical reduction of the dislocated hip secondary to developmental dysplasia may have a contralateral undisplaced dysplastic hip. This study aimed to compare the observation of the contralateral undisplaced dysplastic hip with the treatment by acetabuloplasty in terms of persistent dysplasia to determine the need for bilateral surgery.

Methods: Acetabular dysplasia was defined by an acetabular index (AI) of more than 30 degrees plus a center edge angle (CEA) of less than 20 degrees.

Casting in infantile idiopathic scoliosis as a temporising measure: A systematic review and meta-analysis.

Objective: Treatment of infantile idiopathic scoliosis remains vague. Because implantation of temporary telescopic devices carries a high risk of complications, interest in the older technique of serial casting is growing as a temporising measure before invasive procedures. The goal of this review was to meta-analyse studies examining the effect and safety of casting in infantile idiopathic scoliosis.

Correction of the acetabular index is more crucial than the type of acetabuloplasty in developmental dysplasia.

Background: Acetabular remodeling may not be predictable after open reduction in developmental dysplasia of the hip (DDH) in older children. Several acetabuloplasties have been developed, and all are aimed at correcting the dysplastic acetabulum. The goal of this study is to evaluate if the type of pelvic acetabuloplasty and the corrected (postoperative) acetabular index (AI) affect early follow-up femoral head coverage.

Treatment of developmental dysplasia of the hip (DDH) between the age of 18 and 24 months.

Background: Treatment of developmental dysplasia of the hip between the age of 6 and 18 months starts with closed reduction (CR). If CR is not attainable, open reduction is performed. Open reduction and pelvic osteotomy (ORPO) is usually done directly after the age of two.

Development of a prediction model for allogenic blood transfusion in children undergoing surgery for developmental dysplasia of the hip.

Background: Blood transfusion is a common practice, but it is not without cost and risk. A model that predicts the risk of blood transfusion could guide informed preoperative blood ordering and use of blood loss preventive measures.

Objective: This study aimed to develop a prediction model of blood transfusion in children with developmental dysplasia of the hip (DDH) undergoing surgery.

Treatment of chronic bilateral facet dislocation in a 6-year-old: A case report.

Objectives: Spine injuries seldom affect the subaxial spine in children less than 9 years of age. We describe the management of a chronic paediatric bilateral facet dislocation.

Methods: Case report and literature review.

Predictors of femoral shortening for pediatric developmental hip dysplasia surgery: an observational study in 435 patients.

Background: Open reduction of the congenitally dislocated hip may not be possible without femoral shortening. The goal of this study is to develop a prognostic prediction model for the need of femoral shortening in children undergoing anterior open reduction for the treatment of developmental dysplasia of the hip (DDH). The secondary objective was to determine if femoral shortening influences the risk of adverse events.

Acute presentation of Sinding-Larsen-Johansson disease simulating patella sleeve fracture: A case report.

Objectives: Diagnosis of Sinding-Larsen-Johansson disease may not be an easy task. Several sport-related conditions affect the distal pole of the patella in the adolescent, and treatment varies considerably. The article describes a patient that had radiographic features of Sinding-Larsen-Johansson disease associated with an atypical acute presentation.

Salvage of mangled upper extremity using the Masquelet technique in a child: A case report.

Aim: To report our experience with the Masquelet concept in a pediatric upper extremity following an open injury to the elbow.

Methods: A case report and literature review.

Results: An 11-year-old boy was transferred to our institution after a motor vehicle collision.

Single-leg spica provides adequate stability after open reduction in developmental dysplasia of the hip.

Introduction: The late detection of developmental dysplasia of the hip (DDH) will remain a major concern in some parts of the world until effective screening programs become available. With late diagnosis comes the need for open surgical reduction. Surgery is invariably followed by a period of immobilisation in a spica cast to prevent postoperative displacement.

The Added Value of Postoperative Axial Imaging in Developmental Dysplasia of the Hip.

Background: Redislocation is a dreaded complication after reduction of developmental dysplasia of the hip (DDH) in young children. While early detection facilitates urgent reoperation, delayed revisions are more complicated. Despite the weak evidence, an axial postoperative imaging tool is recommended.

Combined pelvic and femoral reconstruction in children with cerebral palsy.

Objective The primary aim of this study was to determine the effect of age, femoral head migration, and ambulatory status on radiographic outcomes after combined pelvic and femoral reconstruction in children with cerebral palsy. The secondary aim was to evaluate the fate of the opposite hip after unilateral reconstruction. Methods A retrospective cohort study design of consecutive patients from 1995-2009 was used.

Prediction of the requirement of open reduction for developmental dysplasia of the hip.

Objective Closed reduction (CR) is a noninvasive treatment for developmental dysplasia of the hip (DDH), and this treatment is confirmed intraoperatively. This study aimed to develop a preoperative estimation model of the probability of requiring open reduction (OR) for DDH. Methods The study design was cross-sectional by screening all patients younger than 2 years who had attempted CR between October 2012 and July 2016 by a single surgeon.

Principles of rotationplasty.

Rotationplasty is a reconstructive, limb-sparing option for management of lower extremity bone deficiency. This technique involves an intercalary resection, followed by 180° rotation of the distal limb to allow the ankle to function as a knee joint when it is fitted with a modified below-knee prosthesis. Gait analysis and functional outcome studies have reported favorable results with rotationplasty compared with those of above-knee amputation.