Hip Development after Reduction in Developmental Dislocation of the Hip: Long-term Follow-up to Skeletal Maturity of 64 Hips

2006 ◽  
Vol 41 (2) ◽  
pp. 346
Author(s):  
Sung Man Rowe ◽  
Sung Taek Jung ◽  
Jin Choi ◽  
Ki Hyeoung Kim
Keyword(s):  
Skeletal Maturity ◽  
Long Term Follow Up ◽  
Dislocation Of The Hip

The modified Stulberg classification is a strong predictor of the radiological outcome 20 years after the diagnosis of Perthes’ disease

2021 ◽  
Vol 103-B (12) ◽  
pp. 1815-1820
Author(s):  
Stefan Huhnstock ◽  
Ola Wiig ◽  
Else Merckoll ◽  
Svein Svenningsen ◽  
Terje Terjesen
Keyword(s):  
Femoral Head ◽  
Skeletal Maturity ◽  
Strong Predictor ◽  
Perthes Disease ◽  
Radiological Outcome ◽  
Long Term Follow Up ◽  
The Mean ◽  
Stulberg Classification

Aims The aim of this study was to assess the prognostic value of the modified three-group Stulberg classification, which is based on the sphericity of the femoral head, in patients with Perthes’ disease. Methods A total of 88 patients were followed from the time of diagnosis until a mean follow-up of 21 years. Anteroposterior pelvic and frog-leg lateral radiographs were obtained at diagnosis and at follow-up of one, five, and 21 years. At the five- and 21-year follow-up, the femoral heads were classified using a modified three-group Stulberg classification (round, ovoid, or flat femoral head). Further radiological endpoints at long-term follow-up were osteoarthritis (OA) of the hip and the requirement for total hip arthroplasty (THA). Results There were 71 males (81%) and 17 females. A total of 13 patients had bilateral Perthes’ disease; thus 101 hips were analyzed. At five-year follow-up, 37 hips were round, 38 ovoid, and 26 flat. At that time, 66 hips (65%) were healed and 91 (90%) were skeletally immature. At long-term follow-up, when the mean age of the patients was 28 years (24 to 34), 20 hips had an unsatisfactory outcome (seven had OA and 13 had required THA). There was a strongly significant association between the modified Stulberg classification applied atfive-year follow-up and an unsatisfactory outcome at long-term follow-up (p < 0.001). Between the five- and 21-year follow-up, 67 hips (76%) stayed in their respective modified Stulberg group, indicating a strongly significant association between the Stulberg classifications at these follow-ups (p < 0.001). Conclusion The modified Stulberg classification is a strong predictor of long-term radiological outcome in patients with Perthes’ disease. It can be applied at the healing stage, which is usually reached five years after the diagnosis is made and before skeletal maturity. Cite this article: Bone Joint J 2021;103-B(12):1815–1820.

Congenital dislocation of the hip: a long-term follow-up in Korea

1990 ◽  
Vol 31 (2) ◽  
pp. 134 ◽  
Author(s):  
Nam Hyun Kim ◽  
Byeong Mun Park ◽  
Hwan Mo Lee
Keyword(s):  
Congenital Dislocation ◽  
Long Term Follow Up ◽  
Dislocation Of The Hip

Long-Term Follow-up of Developmental Dislocation of the Hip After Closed Reduction

1993 ◽  
Vol 2 (2) ◽  
pp. 145-151
Author(s):  
A. Salon ◽  
B. Melchior ◽  
Y. Desgrippes ◽  
S. Peraldi ◽  
H. Bensahel
Keyword(s):  
Closed Reduction ◽  
Long Term Follow Up ◽  
Dislocation Of The Hip
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