Ultrasound-guided gradual reduction using flexion and abduction continuous traction for developmental dysplasia of the hip

  • K. Fukiage
    Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga Pref., 524-0022, Japan.
  • T. Futami
    Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga Pref., 524-0022, Japan.
  • Y. Ogi
    Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga Pref., 524-0022, Japan.
  • Y. Harada
    Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga Pref., 524-0022, Japan.
  • F. Shimozono
    Shiga Medical Center For Children, 5-7-30, Moriyama, Moriyama-city, Shiga Pref., 524-0022, Japan.
  • N. Kashiwagi
    SKY Orthopaedic Clinic, 10-1, Futaba-cho, Ibaraki, Osaka, Japan
  • T. Takase
    Takase Orthopaedic Clinic, 7-3, Misasagikamigobyono-cho, Yamashina, Kyoto, Japan.
  • S. Suzuki
    Mizuno memorial hospital, 6-32-10, Nishiarai, Adachiku, Tokyo, Japan.

Bibliographic Information

Other Title
  • a new method of treatment

Abstract

<jats:p> We describe our experience in the reduction of dislocation of the hip secondary to developmental dysplasia using ultrasound-guided gradual reduction using flexion and abduction continuous traction (FACT-R). During a period of 13 years we treated 208 Suzuki type B or C complete dislocations of the hip in 202 children with a mean age of four months (0 to 11). The mean follow-up was 9.1 years (five to 16). The rate of reduction was 99.0%. There were no recurrent dislocations, and the rate of avascular necrosis of the femoral head was 1.0%. The rate of secondary surgery for residual acetabular dysplasia was 19.2%, and this was significantly higher in those children in whom the initial treatment was delayed or if other previous treatments had failed (p = 0.00045). The duration of FACT-R was significantly longer in severe dislocations (p = 0.001) or if previous treatments had failed (p = 0.018). </jats:p><jats:p> This new method of treatment is effective and safe in these difficult cases and offers outcomes comparable to or better than those of standard methods. </jats:p><jats:p> Cite this article: Bone Joint J 2015;97-B:405–11. </jats:p>

Journal

  • The Bone & Joint Journal

    The Bone & Joint Journal 97-B (3), 405-411, 2015-03

    British Editorial Society of Bone & Joint Surgery

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