118 DDH was detected by US and classified following Graf’s criteria. A blinded randomized study was effected using Teuffel-Mignon (59) and Coxa-Flex (59) devices, to evaluate effectiveness of both harnesses in management. Type C recovered in 60,09 days, D in 100, IIIA in 103,60, IIIB in 108,66 days. Statistical model shows associations between outcome and pathological type (P<0.001), age at diagnosis (P<0.001) and device (P<0.02). Model shows that on average for each day of delay in diagnosis needed more than half a day for the patient to recover. Model confirmed that patients with serious pathologies need more time to recover. The treatment of DDH is based on the device, on the correct diagnosis with Graf’s method and on the early treatment, when the hip is more mouldable. Our opinion is that one device instead of another isn’t what’s important. What’s fundamental is the choice of the device based on long experience.

The effectiveness of the two different devices in the management of developmental dysplasia of the hip / R. Azzoni - In: Atti 93° Congresso Società Italiana Ortopedia Traumatologia / F. Pipino ; [a cura di] F. Pipino. - unica. - Roma : Pacini, 2008 Nov. (( Intervento presentato al 93. convegno Congresso nazionale SIOT tenutosi a Roma nel 2008.

The effectiveness of the two different devices in the management of developmental dysplasia of the hip

R. Azzoni
Primo
2008

Abstract

118 DDH was detected by US and classified following Graf’s criteria. A blinded randomized study was effected using Teuffel-Mignon (59) and Coxa-Flex (59) devices, to evaluate effectiveness of both harnesses in management. Type C recovered in 60,09 days, D in 100, IIIA in 103,60, IIIB in 108,66 days. Statistical model shows associations between outcome and pathological type (P<0.001), age at diagnosis (P<0.001) and device (P<0.02). Model shows that on average for each day of delay in diagnosis needed more than half a day for the patient to recover. Model confirmed that patients with serious pathologies need more time to recover. The treatment of DDH is based on the device, on the correct diagnosis with Graf’s method and on the early treatment, when the hip is more mouldable. Our opinion is that one device instead of another isn’t what’s important. What’s fundamental is the choice of the device based on long experience.
DDH ; devices ; hip
Settore MED/33 - Malattie Apparato Locomotore
nov-2008
Società Italiana Ortopedia Traumatologia
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/193748
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