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Developmental Dysplasia of the Hip in Young Children

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The Pediatric and Adolescent Hip

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Abstract

Developmental dysplasia of the hip (DDH) in the newborn describes a wide spectrum of pathologic disorders of the hip, ranging from subtle dysplasia of the acetabulum to irreducible hip dislocation. At all ages of treatment, the primary goal is to obtain a concentric reduction of the femoral head within the acetabulum while minimizing the risk for avascular necrosis or other complications. When recognized in the first 6 months of life, DDH is typically successfully treated with simple outpatient based harness therapy (Pavlik) and routinely results in excellent outcomes. After 6 months of age, closed reduction, open reduction, and femoral and pelvic osteotomies are more often required as treatment modalities. Each treatment decision should be considered thoughtfully in each unique patient encounter, with the overriding goal of obtaining a concentrically reduced hip joint while minimizing complications always at the forefront.

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  1. Department of Orthopaedics and Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, IA, USA

    Stuart L. Weinstein & Joshua B. Holt

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  1. Clinical Director of Paediatric Trauma and Orthopaedic Surgery, Royal Manchester Children Hospital, Manchester University NHS Foundation Trust, Manchester, UK

    Sattar Alshryda

  2. Weill Cornell Medicine, Chief of Orthopaedic Surgery Sidra Medicine, Doha, Qatar

    Jason J. Howard

  3. Senior Attending Physician in Pediatric Orthopedic Surgery, Sidra Medicine, Doha, Qatar

    James S. Huntley

  4. Vanderbilt University Medical Center, Jeffrey Mast Chair of Orthopaedic Hip and Trauma Surgery, Nashville, TN, USA

    Jonathan G. Schoenecker

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Weinstein, S.L., Holt, J.B. (2019). Developmental Dysplasia of the Hip in Young Children. In: Alshryda, S., Howard, J., Huntley, J., Schoenecker, J. (eds) The Pediatric and Adolescent Hip. Springer, Cham. https://doi.org/10.1007/978-3-030-12003-0_4

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