Evaluation Of Closed Reduction Patient With Developmental Dysplasia Of The Hip : Systematic Review And Meta Analysis Of Two Different Age Groups

Abstract

Background:
Developmental dysplasia of the hip (DDH) involves maldevelopment of the hip joint during infancy and early childhood. Closed reduction (CR) is a key treatment method, with better outcomes observed in younger patients.

Objective:
To systematically compare clinical and radiological outcomes of CR in DDH patients below and above 18 months of age.

Methods:
A systematic literature review was conducted using databases including PubMed, Scopus, Web of Science, and Google Scholar. Studies included were cohort and case-control studies evaluating CR in children with DDH, categorized into <18 months and ≥18 months age groups. Outcomes assessed included success rates, avascular necrosis (AVN), acetabular index, and the need for secondary surgery.

Results:
Outcomes were more favorable in patients under 18 months, with lower failure rates and fewer complications. Meta-analyses demonstrated statistically significant differences in residual dysplasia and AVN rates between age groups.

Conclusion:
Earlier intervention with CR leads to better outcomes in DDH patients. Although older children may still benefit from CR, the risks and outcomes must be carefully considered.