title: Closed reduction with traction for developmental dysplasia of the hip in children aged between one and five years.
abstract: The treatment of developmental dysplasia of the hip diagnosed after the first year of life remains controversial. A series of 36 children (47 hips), aged between one and 4.9 years underwent gradual closed reduction using the Petit-Morel method. A pelvic osteotomy was required in 43 hips (91.5%). The patients whose hips did not require pelvic osteotomy were among the youngest. The mean age at final follow-up was 16.1 years (11.3 to 32). The mean follow-up was 14.3 years (10 to 30). At the latest follow-up, 44 hips (93.6%) were graded as excellent or good according to the Severin classification. Closed reduction failed in only two hips (4.3%) which then required open reduction. Mild avascular necrosis was observed in one (2.1%). The accuracy of the reduction and associated low complication rate justify the use of the Petit-Morel technique as the treatment of choice for developmental dysplasia of the hip in patients aged between one and five years.
authors.affiliation: Service d'Orthopedie, Pédiatrique, Hopital Saint Vincent-de-Paul, 74-82 Avenue Denfert, Rochereau, 75014 Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Rampal
authors.forename: M
authors.initials: M
authors.lastname: Sabourin
authors.forename: E
authors.initials: E
authors.lastname: Erdeneshoo
authors.forename: G
authors.initials: G
authors.lastname: Koureas
authors.forename: R
authors.initials: R
authors.lastname: Seringe
authors.forename: P
authors.initials: P
authors.lastname: Wicart
mesh_terms: D000077:Acetabulum / Q000601:surgery; D000367:Age Factors; D002370:Casts, Surgical; D002675:Child, Preschool; D005260:Female; D005270:Femur Head / Q000601:surgery; D005271:Femur Head Necrosis / Q000517:prevention & control; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography; D014143:Traction / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome