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Research Article
Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia
Fahad AlShayhan
King Saud University
Corresponding Author
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Background: Developmental dysplasia of hip (DDH) management is challenging hence there is no fixed rules or radiographic criteria to assess and manage DDH. There are many treating modalities including closed reduction, open reduction, skin traction, hip Spica and many others. This study is to assess the outcome of closed reduction in patients below 12 months of ages.
Method: A retrospective study among patients with DDH who underwent closed reduction before the first year of age in a major referral medical center. The study included 100 patients and 168 hips. Average of follow up period was 5.97 years (±3.01). Couple of variables were measured in AP x ray of pelvis to assess the outcome of closed reduction.
Results: Most of the hips were grade 1 and 2 according to the IHDI (International hip dysplasia institution) classification. Significant improvement in the acetabular index post closed reduction. In addition to the normalizing of CE angel's values. Also, majority of hips were severin's class 1 and 2 which were associated with good outcome.
Conclusion: Safe closed reduction in patients with DDH below one year of age had a great outcome, less AVN, less growth complications and decrease the need of future open reduction.
Keywords
DDH, closed reduction, AVN
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CURRENT STATUS: Under Review
Version 1
Posted 25 Nov, 2020
No community comments so far
Editorial decision: Major revision
On 07 Jan, 2021
Review #4 received
Received 21 Dec, 2020
Reviewer #5 agreed
On 06 Dec, 2020
Reviewer #4 agreed
On 06 Dec, 2020
Reviewer #3 agreed
On 06 Dec, 2020
Review #6 received
Received 06 Dec, 2020
Review #5 received
Received 06 Dec, 2020
Reviewer #7 agreed
On 06 Dec, 2020
Reviewer #15 agreed
On 06 Dec, 2020
Reviewer #6 agreed
On 06 Dec, 2020
Reviewer #14 agreed
On 06 Dec, 2020
Reviewer #13 agreed
On 06 Dec, 2020
Review #12 received
Received 03 Dec, 2020
Review #1 received
Received 03 Dec, 2020
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Review #7 received
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Review #13 received
Received 03 Dec, 2020
Review #10 received
Received 03 Dec, 2020
Review #15 received
Received 03 Dec, 2020
Review #14 received
Received 03 Dec, 2020
Review #9 received
Received 03 Dec, 2020
Review #2 received
Received 03 Dec, 2020
Reviewer #21 agreed
On 23 Nov, 2020
Reviewer #10 agreed
On 23 Nov, 2020
Reviewer #17 agreed
On 23 Nov, 2020
Reviewer #12 agreed
On 23 Nov, 2020
Reviewer #25 agreed
On 23 Nov, 2020
Reviewer #20 agreed
On 23 Nov, 2020
Reviewer #8 agreed
On 23 Nov, 2020
Reviewer #16 agreed
On 23 Nov, 2020
Reviewer #22 agreed
On 23 Nov, 2020
Reviewer #19 agreed
On 23 Nov, 2020
Reviewer #24 agreed
On 23 Nov, 2020
Reviewer #23 agreed
On 23 Nov, 2020
Reviewer #2 agreed
On 23 Nov, 2020
Reviewer #18 agreed
On 23 Nov, 2020
Reviewer #1 agreed
On 23 Nov, 2020
Reviewer #11 agreed
On 23 Nov, 2020
Reviewer #9 agreed
On 23 Nov, 2020
Reviewers invited
Invitations sent on 23 Nov, 2020
Editor assigned
On 23 Nov, 2020
Editor invited
On 23 Nov, 2020
Submission checks complete
On 22 Nov, 2020
First submitted
On 14 Nov, 2020
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Subject Areas
Orthopedics
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This preprint is under consideration at BMC Musculoskeletal Disorders. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research Article
Outcome of Closed Reduction of Developmental Dysplasia of Hip Before First Year of Age, A Retrospective Cohort Study, Saudi Arabia
Fahad AlShayhan
King Saud University
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 25 Nov, 2020
No community comments so far
Editorial decision: Major revision
On 07 Jan, 2021
Review #4 received
Received 21 Dec, 2020
Reviewer #5 agreed
On 06 Dec, 2020
Reviewer #4 agreed
On 06 Dec, 2020
Reviewer #3 agreed
On 06 Dec, 2020
Review #6 received
Received 06 Dec, 2020
Review #5 received
Received 06 Dec, 2020
Reviewer #7 agreed
On 06 Dec, 2020
Reviewer #15 agreed
On 06 Dec, 2020
Reviewer #6 agreed
On 06 Dec, 2020
Reviewer #14 agreed
On 06 Dec, 2020
Reviewer #13 agreed
On 06 Dec, 2020
Review #12 received
Received 03 Dec, 2020
Review #1 received
Received 03 Dec, 2020
Review #8 received
Received 03 Dec, 2020
Review #3 received
Received 03 Dec, 2020
Review #16 received
Received 03 Dec, 2020
Review #11 received
Received 03 Dec, 2020
Review #7 received
Received 03 Dec, 2020
Review #13 received
Received 03 Dec, 2020
Review #10 received
Received 03 Dec, 2020
Review #15 received
Received 03 Dec, 2020
Review #14 received
Received 03 Dec, 2020
Review #9 received
Received 03 Dec, 2020
Review #2 received
Received 03 Dec, 2020
Reviewer #21 agreed
On 23 Nov, 2020
Reviewer #10 agreed
On 23 Nov, 2020
Reviewer #17 agreed
On 23 Nov, 2020
Reviewer #12 agreed
On 23 Nov, 2020
Reviewer #25 agreed
On 23 Nov, 2020
Reviewer #20 agreed
On 23 Nov, 2020
Reviewer #8 agreed
On 23 Nov, 2020
Reviewer #16 agreed
On 23 Nov, 2020
Reviewer #22 agreed
On 23 Nov, 2020
Reviewer #19 agreed
On 23 Nov, 2020
Reviewer #24 agreed
On 23 Nov, 2020
Reviewer #23 agreed
On 23 Nov, 2020
Reviewer #2 agreed
On 23 Nov, 2020
Reviewer #18 agreed
On 23 Nov, 2020
Reviewer #1 agreed
On 23 Nov, 2020
Reviewer #11 agreed
On 23 Nov, 2020
Reviewer #9 agreed
On 23 Nov, 2020
Reviewers invited
Invitations sent on 23 Nov, 2020
Editor assigned
On 23 Nov, 2020
Editor invited
On 23 Nov, 2020
Submission checks complete
On 22 Nov, 2020
First submitted
On 14 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Orthopedics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Developmental dysplasia of hip (DDH) management is challenging hence there is no fixed rules or radiographic criteria to assess and manage DDH. There are many treating modalities including closed reduction, open reduction, skin traction, hip Spica and many others. This study is to assess the outcome of closed reduction in patients below 12 months of ages.
Method: A retrospective study among patients with DDH who underwent closed reduction before the first year of age in a major referral medical center. The study included 100 patients and 168 hips. Average of follow up period was 5.97 years (±3.01). Couple of variables were measured in AP x ray of pelvis to assess the outcome of closed reduction.
Results: Most of the hips were grade 1 and 2 according to the IHDI (International hip dysplasia institution) classification. Significant improvement in the acetabular index post closed reduction. In addition to the normalizing of CE angel's values. Also, majority of hips were severin's class 1 and 2 which were associated with good outcome.
Conclusion: Safe closed reduction in patients with DDH below one year of age had a great outcome, less AVN, less growth complications and decrease the need of future open reduction.