118 developmental dysplasia of the hip (DDH) was detected by ultrasound (US) and classified following Graf’s criteria. A blinded randomized study on these cases was effected using Tueffuel-Mignon (59) and Coxa-Flex (59) devices, to evaluate effectiveness of both harnesses in DDH management. Study checked 51 type IIC; 43 IID; 15 IIIA; 9 IIIB. 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.
A comparative study on the effectiveness of the two different devices in management of DDH in newborn and infants / R. Azzoni - In: Efort Congress Florence, 11-15 May 2007 : Scientific Programme / W. Puhl, F. Postacchini. - Zurich : Efort, 2007 May 01. (( Intervento presentato al 8. convegno EFORT (European Federation of National Associations of Orthopaedic and Traumatology) tenutosi a Firenze nel 2007.
|Titolo:||A comparative study on the effectiveness of the two different devices in management of DDH in newborn and infants|
AZZONI, ROBERTO (Primo)
|Parole Chiave:||DDH ; US ; Newborn ; Infant ; Echography|
|Settore Scientifico Disciplinare:||Settore MED/33 - Malattie Apparato Locomotore|
|Data di pubblicazione:||1-mag-2007|
|Enti collegati al convegno:||Società Italiana Ortopedia Traumatologia|
European Federation of National Associations of Orthopaedic and Traumatology
|Tipologia:||Book Part (author)|
|Appare nelle tipologie:||03 - Contributo in volume|