Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II
Introduction: The management of developmental dysplasia of the hips (DDH) type Graf IIa is still controversial. This study aims to examine the outcomes of ultrasound-monitored Pavlik harness treatment, as well as the effects of associated factors, such as gender, side of DDH, the age at the treatmen...
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| Format: | Article |
| Language: | English |
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Association of medical doctors Sanamed Novi Pazar
2022-12-01
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| Series: | Sanamed |
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| Online Access: | https://www.sanamed.rs/OJS/index.php/Sanamed/article/view/548/306 |
| _version_ | 1797280859923939328 |
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| author | Djoleva Tolevska Roza Matveeva Niki Georgieva Daniela Bojadzieva Stojanoska Biljana |
| author_facet | Djoleva Tolevska Roza Matveeva Niki Georgieva Daniela Bojadzieva Stojanoska Biljana |
| author_sort | Djoleva Tolevska Roza |
| collection | DOAJ |
| description | Introduction: The management of developmental dysplasia of the hips (DDH) type Graf IIa is still controversial. This study aims to examine the outcomes of ultrasound-monitored Pavlik harness treatment, as well as the effects of associated factors, such as gender, side of DDH, the age at the treatment start, and laterality on the treatment outcomes in different Graf type II subtypes.
Methods: A cohort retrospective investigation was performed on 88 ultrasound-screened infants or 125 hips diagnosed with Graf type II dysplasia during a six-month period at a single institution, the University Clinic for Orthopedic Surgery, Skopje. Subsequently, 47 infants (18 boys, 29 girls) or 73 hips who underwent Pavlik harness treatment with at least one follow-up throughout treatment monitoring were included in this study.
Results: The treatment success rate of the right DDH Graf type IIa (-) was higher (70.8%) compared to the rate of success (50%) in the treatment of left Graf type IIa (-) hips. The mean age of the infants at the treatment start in successfully treated Graf type IIa (-) hips was lower (9.12 ±2.27 weeks) compared to the age of the infants with treatment failure at the last follow-up (11.33 ±3.06 weeks), P= 0.04.
Conclusion: The age of treatment initiation and the side of DDH were the most relevant factors related to the treatment outcome. Infants with maturational deficit hips, Graf type IIa (-), should undergo early initiated, carefully guided, and monitored Pavlik harness treatment.
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| first_indexed | 2024-03-07T16:47:19Z |
| format | Article |
| id | doaj.art-8d2f1bac3fa44503a0bfc73abf443505 |
| institution | Directory Open Access Journal |
| issn | 1452-662X 2217-8171 |
| language | English |
| last_indexed | 2024-03-07T16:47:19Z |
| publishDate | 2022-12-01 |
| publisher | Association of medical doctors Sanamed Novi Pazar |
| record_format | Article |
| series | Sanamed |
| spelling | doaj.art-8d2f1bac3fa44503a0bfc73abf4435052024-03-03T06:24:48ZengAssociation of medical doctors Sanamed Novi PazarSanamed1452-662X2217-81712022-12-0117315115710.5937/sanamed0-40197Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type IIDjoleva Tolevska Roza0Matveeva Niki1Georgieva Daniela2Bojadzieva Stojanoska Biljana3University Clinic for Orthopedic Surgery, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, RN MacedoniaInstitute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, RN MacedoniaUniversity Clinic for Orthopedic Surgery, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, RN Macedonia Institute of Anatomy, Faculty of Medicine, Ss. Cyril and Methodius University, Skopje, RN MacedoniaIntroduction: The management of developmental dysplasia of the hips (DDH) type Graf IIa is still controversial. This study aims to examine the outcomes of ultrasound-monitored Pavlik harness treatment, as well as the effects of associated factors, such as gender, side of DDH, the age at the treatment start, and laterality on the treatment outcomes in different Graf type II subtypes. Methods: A cohort retrospective investigation was performed on 88 ultrasound-screened infants or 125 hips diagnosed with Graf type II dysplasia during a six-month period at a single institution, the University Clinic for Orthopedic Surgery, Skopje. Subsequently, 47 infants (18 boys, 29 girls) or 73 hips who underwent Pavlik harness treatment with at least one follow-up throughout treatment monitoring were included in this study. Results: The treatment success rate of the right DDH Graf type IIa (-) was higher (70.8%) compared to the rate of success (50%) in the treatment of left Graf type IIa (-) hips. The mean age of the infants at the treatment start in successfully treated Graf type IIa (-) hips was lower (9.12 ±2.27 weeks) compared to the age of the infants with treatment failure at the last follow-up (11.33 ±3.06 weeks), P= 0.04. Conclusion: The age of treatment initiation and the side of DDH were the most relevant factors related to the treatment outcome. Infants with maturational deficit hips, Graf type IIa (-), should undergo early initiated, carefully guided, and monitored Pavlik harness treatment. https://www.sanamed.rs/OJS/index.php/Sanamed/article/view/548/306developmental dysplasia of the hip (ddh)pavlik harnessultrasonographygraf type ii |
| spellingShingle | Djoleva Tolevska Roza Matveeva Niki Georgieva Daniela Bojadzieva Stojanoska Biljana Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II Sanamed developmental dysplasia of the hip (ddh) pavlik harness ultrasonography graf type ii |
| title | Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II |
| title_full | Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II |
| title_fullStr | Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II |
| title_full_unstemmed | Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II |
| title_short | Outcomes of ultrasound-monitored treatment of divelopmental dysplasia of the hip graf type II |
| title_sort | outcomes of ultrasound monitored treatment of divelopmental dysplasia of the hip graf type ii |
| topic | developmental dysplasia of the hip (ddh) pavlik harness ultrasonography graf type ii |
| url | https://www.sanamed.rs/OJS/index.php/Sanamed/article/view/548/306 |
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