Evidence-based management of developmental dysplasia of the hip

Anthony Philip Cooper; Siddesh Nandi Doddabasappa; Kishore Mulpuri

doi:10.1016/j.ocl.2014.03.005

Evidence-based management of developmental dysplasia of the hip

Orthop Clin North Am. 2014 Jul;45(3):341-54. doi: 10.1016/j.ocl.2014.03.005.

Authors

Anthony Philip Cooper¹, Siddesh Nandi Doddabasappa¹, Kishore Mulpuri²

Affiliations

¹ Department of Orthopaedics, BC Children's Hospital, 1D-05, 4480 Oak Street, Vancouver, British Columbia V6H 3N1, Canada.
² Department of Orthopaedics, BC Children's Hospital, 1D-66, 4480 Oak Street, Vancouver, British Columbia V6H 3N1, Canada. Electronic address: kmulpuri@cw.bc.ca.

PMID: 24975762
DOI: 10.1016/j.ocl.2014.03.005

Abstract

Developmental Dysplasia of the Hip (DDH) refers to a spectrum of abnormalities involving the developing hip. These abnormalities range from mild instability to frank dislocation of the joint. It is important to treat the condition effectively in order to encourage the hip to develop normally and produce good long-term results. This article reviews the evidence related to the treatment of DDH. The quality of evidence for DDH management remains low, with little uniformity in terminology and most studies being retrospective in nature. Given this, it is not possible to recommend or reject most treatment modalities based on existing studies.

Keywords: Developmental dysplasia hip (DDH); Evidence; Management; Treatment.

Publication types

Review

MeSH terms

Acetabulum / surgery
Equipment Design
Evidence-Based Medicine
Femur / surgery
Femur Head Necrosis / prevention & control
Hip Dislocation / surgery
Hip Dislocation / therapy*
Humans
Orthopedic Procedures / methods*
Osteotomy / methods
Pelvic Bones / diagnostic imaging
Radiography
Splints
Traction
Treatment Outcome