ArticleThe Journal of international medical research2017
Dynamic long leg casting fixation for treating 12- to 18-month-old infants with developmental dysplasia of the hip.
Article in The Journal of international medical research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Long-leg spica casts demonstrate superior outcomes in developmental dysplasia of the hip: a multi-center retrospective analysis of failure risks and protective factors.Frontiers in pediatrics · 2025Article
- Comparison of treatment methods in patients with developmental dysplasia of the hip.Turkish journal of medical sciences · 2024Article
- DDH in the Walking Age: Review of Patients with Long-Term Follow-Up.Indian journal of orthopaedics · 2021Review
- Timing for closed reduction procedure for developmental dysplasia of the hip and its failure analysis.BMC musculoskeletal disorders · 2020Article
- Does the size of the femoral head correlate with the incidence of avascular necrosis of the proximal femoral epiphysis in children with developmental dysplasia of the hip treated by closed reduction?Journal of children's orthopaedics · 2020Review
- Is male gender a prognostic factor for developmental dysplasia of the hip? Mid-long-term results of posteromedial limited surgery.Acta orthopaedica et traumatologica turcica · 2019Article
- Closed reduction and dynamic cast immobilization in patients with developmental dysplasia of the hip between 6 and 24 months of age.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2019Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Objective To evaluate the effect of dynamic long leg casting in paediatric patients with developmental dysplasia of hip (DDH) diagnosed at 12-18 months. Methods The adductor tenotomy, closed reduction, and dynamic long leg casting method was adopted to treat paediatric patients with DDH. The hips were divided into four groups according to the Tonnis radiographic dislocation classification. Groups were also classified according to the baseline acetabular index (AI): 30°-35°, 36°-40°, and > 40°. The outcomes of the reductions were evaluated according to McKay's hip function criteria and Severin's radiological criteria. Results A total of 246 patients (339 hips) had complete follow-up data. After 3 months of orthosis fixation, the results were satisfactory in 264 hips (77.88%). Hip function was rated as 'excellent' or 'good' in 43 of 51 (84.31%) Tonnis type 1 hips, 125 of 155 (80.65%) type 2 hips, 70 of 90 (77.78%) type 3 hips, and 34 of 43 (79.07%) type 4 hips. The higher the baseline AI, the lower the rates of 'excellent' and 'good' hip function. Favourable radiological results (Severin types I and II) were found in 266 of 339 (78.47) hips. Conclusions Dynamic long leg casting is an effective method for treating patients with DDH aged 12-18 months at diagnosis.
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