Related Experiment Video
Updated: Jul 13, 2026
In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
Published on: July 2, 2021
[Developmental dislocation of the hip is still important problem--therapeutic guidelines]
Z Vukasinović1, C Vucetić, G Cobeljić
1Institut za ortopedsko-hirurike bolesti Banjica Beograd.
Insights
Developmental dislocation of the hip requires timely ultrasound-guided treatment. Early nonoperative methods are recommended, with surgical intervention for persistent cases to prevent complications like avascular necrosis.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Radiology
Context:
- Developmental dislocation of the hip (DDH) is a significant pediatric orthopedic concern.
- Current treatment guidelines are based on literature review and clinical expertise.
- Ultrasound plays a crucial role in early diagnosis and treatment stratification.
Purpose:
- To outline evidence-based and experience-driven treatment strategies for DDH.
- To provide age- and ultrasound-based therapeutic recommendations for infants and children.
- To address management of complications arising from DDH and its treatment.
Summary:
- Treatment for DDH in the first year of life involves nonoperative methods like abduction devices, "over head" traction, and Pavlik harnesses, guided by ultrasound findings.
- A treatment pause is advised during the second year to mitigate the risk of postreduction avascular hip necrosis.
- Surgical options, including open reduction and osteotomies, are indicated after the second year, alongside management of leg length discrepancies and necrosis-related deformities.
Impact:
- This approach aims to optimize treatment outcomes for developmental dislocation of the hip.
- It provides a structured management plan to minimize long-term complications.
- The guidelines support clinicians in making informed decisions for DDH patients.
Abstract:
The authors are describing currently important problem--developmental dislocation of the hip. Guidelines for the treatment have been given according to literature date and upon their own experience. Therapeutic suggestions for the first twelve months of life are based on the ultrasound typing--it is advised to perform nonoperative treatment (abduction devices, "over head" traction, Pavlik harnesses). During the second year of life a pause in the treatment should be adviced in order to avoid postreduction avascular hip necrosis as a very important complication. After that period surgical treatment has to be done (open reduction, pelvic and femoral osteotomies). Special suggestions have been given for the treatment of consecutive leg length inequality and the deformities caused by postreduction avascular hip necrosis.
