Orthosis Treatment for Patients with Congenital Hip Dislocation
Background: Congenital dislocation of the hip is currently a public health and socioeconomic problem. Delayed treatment impairs the functional prognosis of the affected hip and increases the need for surgical treatment. Aim: To evaluate the therapeutic results of the treatment by orthosis and the...
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| Format: | Article |
| Language: | English |
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Universitas Airlangga
2023-02-01
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| Series: | Surabaya Physical Medicine and Rehabilitation Journal |
| Subjects: | |
| Online Access: | https://e-journal.unair.ac.id/SPMRJ/article/view/36926 |
| _version_ | 1797808457111306240 |
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| author | Manohisoa Nomena Harisambatra Rakotonandrianina Ando Tatiana Ranaivondrambola, MG., Tsiahoana Jean Floris Tata Gaëtan Duval Solofomalala |
| author_facet | Manohisoa Nomena Harisambatra Rakotonandrianina Ando Tatiana Ranaivondrambola, MG., Tsiahoana Jean Floris Tata Gaëtan Duval Solofomalala |
| author_sort | Manohisoa Nomena Harisambatra Rakotonandrianina |
| collection | DOAJ |
| description | Background: Congenital dislocation of the hip is currently a public health and socioeconomic problem. Delayed treatment impairs the functional prognosis of the affected hip and increases the need for surgical treatment.
Aim: To evaluate the therapeutic results of the treatment by orthosis and the cost of the treatment.
Material and Methods: This retroprospective descriptive study was carried out at the CHUAM of Antananarivo and the CRMM of Antsirabe on patients with congenital hip dislocation treated with braces; from January 2017 to August 2021.
Results: Forty-eight cases were retained during this study. A female predominance was mentioned with a sex ratio of 0.45 and an average age of 7.8 ± 5.5 months at the beginning of the treatment. A left dislocation was observed in 27.1% of cases. Twenty-nine patients were treated with abduction pants. A recentered femoral head showing a good result was present in 37 patients. Five dislocations were observed at follow-up, and 5 residual subluxations. No cases of avascular necrosis of the femoral head have been reported. The total cost of orthosis treatment was on the average of 138.554,5 ± 51.678,8 Ariary.
Conclusion: The age at the start of treatment and the duration of treatment influence the therapeutic outcome. The cost of orthosis treatment was affordable. If the treatment started earlier, the functional prognosis would be better. |
| first_indexed | 2024-03-13T06:37:47Z |
| format | Article |
| id | doaj.art-1dcf54c739cf4780bfe7374219bbc5fd |
| institution | Directory Open Access Journal |
| issn | 2656-0895 |
| language | English |
| last_indexed | 2024-03-13T06:37:47Z |
| publishDate | 2023-02-01 |
| publisher | Universitas Airlangga |
| record_format | Article |
| series | Surabaya Physical Medicine and Rehabilitation Journal |
| spelling | doaj.art-1dcf54c739cf4780bfe7374219bbc5fd2023-06-09T04:13:27ZengUniversitas AirlanggaSurabaya Physical Medicine and Rehabilitation Journal2656-08952023-02-0151172410.20473/spmrj.v5i1.36926Orthosis Treatment for Patients with Congenital Hip DislocationManohisoa Nomena Harisambatra Rakotonandrianina0https://orcid.org/0009-0002-8350-2964Ando Tatiana Ranaivondrambola, MG.,1https://orcid.org/0000-0003-3944-5480Tsiahoana Jean Floris Tata2Gaëtan Duval Solofomalala3 University of Antananarivo, MadagascarDepartment of Physical and Rehabilitation Medicine, Faculty of Medicine of Antananarivo, Equipment Teaching Hospital of Madagascar, MahamasinaUniversity of Antananarivo, MadagascarUniversity of Antananarivo, MadagascarBackground: Congenital dislocation of the hip is currently a public health and socioeconomic problem. Delayed treatment impairs the functional prognosis of the affected hip and increases the need for surgical treatment. Aim: To evaluate the therapeutic results of the treatment by orthosis and the cost of the treatment. Material and Methods: This retroprospective descriptive study was carried out at the CHUAM of Antananarivo and the CRMM of Antsirabe on patients with congenital hip dislocation treated with braces; from January 2017 to August 2021. Results: Forty-eight cases were retained during this study. A female predominance was mentioned with a sex ratio of 0.45 and an average age of 7.8 ± 5.5 months at the beginning of the treatment. A left dislocation was observed in 27.1% of cases. Twenty-nine patients were treated with abduction pants. A recentered femoral head showing a good result was present in 37 patients. Five dislocations were observed at follow-up, and 5 residual subluxations. No cases of avascular necrosis of the femoral head have been reported. The total cost of orthosis treatment was on the average of 138.554,5 ± 51.678,8 Ariary. Conclusion: The age at the start of treatment and the duration of treatment influence the therapeutic outcome. The cost of orthosis treatment was affordable. If the treatment started earlier, the functional prognosis would be better.https://e-journal.unair.ac.id/SPMRJ/article/view/36926complicationcongenital hip dislocationorthosistherapeutic outcometreatment |
| spellingShingle | Manohisoa Nomena Harisambatra Rakotonandrianina Ando Tatiana Ranaivondrambola, MG., Tsiahoana Jean Floris Tata Gaëtan Duval Solofomalala Orthosis Treatment for Patients with Congenital Hip Dislocation Surabaya Physical Medicine and Rehabilitation Journal complication congenital hip dislocation orthosis therapeutic outcome treatment |
| title | Orthosis Treatment for Patients with Congenital Hip Dislocation |
| title_full | Orthosis Treatment for Patients with Congenital Hip Dislocation |
| title_fullStr | Orthosis Treatment for Patients with Congenital Hip Dislocation |
| title_full_unstemmed | Orthosis Treatment for Patients with Congenital Hip Dislocation |
| title_short | Orthosis Treatment for Patients with Congenital Hip Dislocation |
| title_sort | orthosis treatment for patients with congenital hip dislocation |
| topic | complication congenital hip dislocation orthosis therapeutic outcome treatment |
| url | https://e-journal.unair.ac.id/SPMRJ/article/view/36926 |
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