Date of Award

2027

Document Type

Capstone

Degree Name

Master of Science (MS)

Department

Physician Assistant Studies

Committee Chair

LaDonna Clark

Abstract

Introduction:

            Developmental dysplasia of the hip (DDH) is one of the most common orthopedic malformations in children. Late detection of DDH can lead to more invasive treatment, higher risk of treatment related complications, and long-term sequelae like early onset osteoarthritis. The purpose of this clinical review is to analyze current treatments for DDH and provide a rationale for individualized treatment decisions and future implications.

Methods:

            A PubMed search was preformed using a specific strategy with key terms “developmental dysplasia of the hip,” “orthosis,” “surgical reduction,” and “complications.” Boolean operators and filters were used to narrow the results to 6 relevant, high-quality articles for review.

Results:

One study directly compared types of orthoses for DDH and their outcomes. Another study compared children treated with orthosis for DDH to otherwise healthy children. Four studies evaluated surgical reduction, associated complications, and potential risk factors. The findings of the studies reviewed were consistent in some areas but mixed in others.

Discussion:

            The reviewed literature emphasizes an early diagnosis of DDH as central to treatment. The more advanced the disease at diagnosis, the more likely patients are to experience treatment-related complications. However, the relationship between specific treatment modalities and risk of complications remains unclear. Further research is needed to develop individualized treatment algorithms and risk stratify patients prior to management for DDH.

Creative Commons License

Creative Commons Attribution-Noncommercial 4.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

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