Closed Reduction, Arthrogram and Spica Application for DDH.

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. The indications for the procedure include DDH in children between the age of 6 months and 2 years, and failure of Pavlik harness treatment. 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. The article describes video technique for closed reduction, arthrogram and spika for management of DDH along with a list of useful tips and tricks. The online version contains supplementary material available at 10.1007/s43465-021-00542-y. © Indian Orthopaedics Association 2021.

Citation

Taral Nagda, Jaideep Dhamele. Closed Reduction, Arthrogram and Spica Application for DDH. Indian journal of orthopaedics. 2021 Dec;55(6):1602-1604

PMID: 35003548

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