Avascular necrosis rate in early reduction after failed Pavlik harness treatment of developmental dysplasia of the hip

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dc.contributor.authorSenaran, Hakan
dc.contributor.authorBowen, J. Richard
dc.contributor.authorHarcke, H. Theodore
dc.date.accessioned2020-03-26T17:17:02Z
dc.date.available2020-03-26T17:17:02Z
dc.date.issued2007
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractOur hypothesis is that hips with developmental dysplasia (DDH), which fail Pavlik harness treatment and are reduced within 3 months of age, have a low rate of avascular necrosis (AVN). Inclusion criteria are as follows: diagnosis of DDH within 2 months of birth, failure of reduction or stabilization by Pavlik harness treatment, surgical reduction of the hip advised to be performed within 3 months of age, and follow-up for Salter criteria of AVN. Twenty-one consecutive cases (35 hips) met the inclusion criteria. Nineteen cases (31 hips) were initially reduced within 3 months of age, and none of these cases developed AVN. After Pavlik harness failure, initial closed reduction was achieved in 33 (94%) of 35 hips, and open reduction required in 2 (6%) of 35 hips. At latest follow-up, one (3%) of 35 hips had AVN. At the time of reporting, 1 (3%) of the 35 hips has required an additional procedure (Pemberton osteotomy) for residual dysplasia. There were 2 outlier cases (4 hips) in which the parents delayed the reduction and 1 case developed unilateral AVN, which was reduced after the proximal femoral ossification center developed at 7 months of age. The data presented in the current study support our hypothesis.en_US
dc.identifier.doi10.1097/01.bpb.0000248567.49089.f0en_US
dc.identifier.endpage197en_US
dc.identifier.issn0271-6798en_US
dc.identifier.issn1539-2570en_US
dc.identifier.issue2en_US
dc.identifier.pmid17314645en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage192en_US
dc.identifier.urihttps://dx.doi.org/10.1097/01.bpb.0000248567.49089.f0
dc.identifier.urihttps://hdl.handle.net/20.500.12395/21234
dc.identifier.volume27en_US
dc.identifier.wosWOS:000244619900014en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofJOURNAL OF PEDIATRIC ORTHOPAEDICSen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectdevelopmental dysplasia of the hipen_US
dc.subjectPavlik harness treatmenten_US
dc.subjectavascular necrosisen_US
dc.subjectDDHen_US
dc.subjectAVNen_US
dc.titleAvascular necrosis rate in early reduction after failed Pavlik harness treatment of developmental dysplasia of the hipen_US
dc.typeArticleen_US

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