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Historical Aspects of DDH.

Dennis R Wenger1, James D Bomar1

  • 1Orthopedics and Scoliosis Center, Rady Children's Hospital San Diego, 3020 Children's Way, MC5062, San Diego, CA 92123 USA.

Indian Journal of Orthopaedics
|January 10, 2022
PubMed
Summary

Scientific advances, from X-rays to antibiotics, have transformed the diagnosis and treatment of developmental dysplasia of the hip (DDH). Modern orthopedic surgery and specialized centers continue to evolve DDH care for children and young adults.

Keywords:
DDHHistoryPediatric orthopedics

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Area of Science:

  • Orthopedic Surgery
  • Medical History
  • Pediatric Orthopedics

Background:

  • Early understanding of hip conditions was limited, with symptoms like limping attributed to various serious diseases.
  • The discovery of X-ray technology in 1896 was pivotal for understanding childhood hip disorders, including developmental dysplasia of the hip (DDH).

Purpose of the Study:

  • To summarize the historical evolution of understanding and treating developmental dysplasia of the hip (DDH).

Main Methods:

  • A review of available literature was conducted to compile a historical overview of DDH understanding.

Main Results:

  • Non-operative treatments evolved from casts to splints and the Pavlik harness.
  • Diagnostic ultrasound enabled earlier detection and intervention for DDH.
  • Key surgical advancements, including anesthesia, sterilization, X-ray, stainless steel, and antibiotics, facilitated complex procedures like open reductions and osteotomies for DDH.

Conclusions:

  • The progress in diagnosing and treating DDH reflects broader advancements in orthopedic surgery driven by the scientific method.
  • Dedicated research and educational centers for childhood hip disorders ensure continued progress in managing DDH.