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. 2023 Dec;77(6):655-663.
doi: 10.18926/AMO/66159.

Comparison between Cases of Total Hip Arthroplasty Followed by Colonna Capsular Arthroplasty and Lorenz Cast Reduction in Patients with Developmental Dysplasia of the Hip

Hirosuke Endo  1 , Kazuki Yamada  2 , Tomonori Tetsunaga  2 , Yoshifumi Namba  1 , Yoshihisa Sugimoto  1 , Shigeru Mitani  1 , Eiji Nakata  2 , Toshifumi Ozaki  2
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Free article

Comparison between Cases of Total Hip Arthroplasty Followed by Colonna Capsular Arthroplasty and Lorenz Cast Reduction in Patients with Developmental Dysplasia of the Hip

Hirosuke Endo et al. Acta Med Okayama. 2023 Dec.
Free article

Abstract

Most patients with developmental dysplasia of the hip (DDH) now receive closed-reduction treatment within 6 months after birth. The long-term outcomes of patients with late-detection DDH have remained unclear. We reviewed the clinical records of 18 patients who underwent Colonna capsular arthroplasty (n=8) or closed reduction (n=10) for developmental dysplasia of the hip as infants or young children and underwent total hip arthroplasty approximately in midlife. Both the Colonna capsular arthroplasty and closed reduction groups achieved good clinical results after total hip arthroplasty. However, the operating time was longer and the improvements of hip range of motion and clinical score were significantly worse in the Colonna capsular arthroplasty group than in the closed reduction group.

Keywords: Colonna capsular arthroplasty; closed reduction; developmental hip dysplasia; long-term follow-up; total hip arthroplasty.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

References

    1. Lorenz A: Über die mechanische Behandlung der angeborenen Hüftverrenkung. Zentralbl Chir (1895) 22: 153-162 (in German).
    1. Severin E: Congenital dislocation of the hip development of the joint after closed reduction. J Bone Joint Surg Am (1950) 32-A: 507-518.
    1. Pavlik A: The functional method of treatment using a harness with stirrups as the primary method of conservative therapy for infants with congenital dislocation of the hip. Clin Orthop Relat Res (1957) 89: 341-352.
    1. Colonna PC: Arthroplasty of the hip for congenital dislocation in children. J Bone Joint Surg Am (1947) 3: 277-298.
    1. Kanai H, Takatori Y, Nakamura S and Morimoto S: Colonna capsular arthroplasty: 33-year follow-up of four patients. Int Orthop (1999) 23: 145-147.