title: Long-term follow-up of DDH patients who underwent open reduction without a postoperative cast.
abstract: We present the results - assessed after bony maturation - of an early anterior approach open reduction performed using our modified technique on 49 hips at 6-24 months of age. We start postoperative functional treatment using a Pavlik harness and an abduction splint, abandoning plaster cast. Secondary surgeries were performed in 11 hips (22.4%) at 3-7 years of age. Our results were 'satisfactory' (Severin Grade I, II) in 96% of the cases. According to the joints' Severin Grade, the total hip replacement probability at an early age is 8.16% in our series. Our principles and practice, introduced in 1980 in terms of secondary surgeries, are in total harmony with the recent literature.
authors.affiliation: Department of Orthopaedic Surgery, University of Debrecen Medical and Health Science Center, Debrecen, Hungary. szepesi@dote.hu
authors.forename: Kálmán
authors.initials: K
authors.lastname: Szepesi
authors.forename: Gabriella
authors.initials: G
authors.lastname: Szücs
authors.forename: Csenge
authors.initials: C
authors.lastname: Szeverényi
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Csernátony
mesh_terms: D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006618:Hip Dislocation, Congenital / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000379:methods*; D009989:Orthotic Devices; D011182:Postoperative Care / Q000379:methods; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome