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Closed Reduction, Arthrogram and Spica Application for DDH

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Indian Journal of Orthopaedics Aims and scope Submit manuscript

Abstract

Introduction

The principle of the treatment for DDH is to establish a concentric, congruent, stable and safe reduction of the hip. Early treatment enables the subsequent hip development. Closed reduction and spica play an essential role during the process of DDH treatment, especially the young children, with high success rate and low complications.

Indications

The indications for the procedure include DDH in children between the age of 6 months and 2 years, and failure of Pavlik harness treatment.

Technique

The procedure is performed under general anaesthesia or deep sedation under guidance of image intensifier. We use a wooden board as spica table. The steps of the procedure are illustrated in the video and include: (1) gentle reduction, (2) confirmation of reduction and stability with arthrogram and (3) application of hip spica in human position.

Conclusion

The article describes video technique for closed reduction, arthrogram and spika for management of DDH along with a list of useful tips and tricks.

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Authors and Affiliations

  1. Narayana Health SRCC Childrens Hospital, Hajiali, Mumbai, Maharashtra, India

    Taral Nagda & Jaideep Dhamele

Authors
  1. Taral Nagda
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  2. Jaideep Dhamele
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Correspondence to Taral Nagda.

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Nagda, T., Dhamele, J. Closed Reduction, Arthrogram and Spica Application for DDH. JOIO 55, 1602–1604 (2021). https://doi.org/10.1007/s43465-021-00542-y

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  • DOI: https://doi.org/10.1007/s43465-021-00542-y

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