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Evidence-Based Management of Developmental Dysplasia of the Hip

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Paediatric Orthopaedics

Abstract

This chapter aims to summarise the best available evidence for decision making in treating children with developmental dysplasia of the hip. While the treatment of DDH is not without risk, it is universally accepted that the clinician should do what is necessary to achieve and maintain a gentle, concentric and stable reduction. Several challenges became apparent during the preparation of this chapter. Many of the studies are retrospective case series with suboptimal methodology, small numbers and inconsistent treatment methods. Radiological appearance (using the Severin classification and scores to identify the pattern of growth disturbance) are consistently used as surrogates for poor outcome. There are several aspects in the treatment of DDH where uncertainties remain. We hope that this chapter will help guide the surgeon through these controversies.

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Correspondence to Richard O. E. Gardner or Sattar Alshryda .

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Gardner, R.O.E., Alshryda, S., Kelley, S.P., Wedge, J. (2017). Evidence-Based Management of Developmental Dysplasia of the Hip. In: Alshryda, S., Huntley, J., Banaszkiewicz, P. (eds) Paediatric Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-41142-2_4

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