Long-term follow-up of DDH patients who underwent open reduction without a postoperative cast

Kálmán Szepesi, Gabriella Szücs, Csenge Szeverényi, Zoltán Csernátony

Research output: Contribution to journalArticle

6 Citations (Scopus)


We present the results - assessed after bony maturation - of an early anterior approach open reduction performed using our modified technique on 49 hips at 6-24 months of age. We start postoperative functional treatment using a Pavlik harness and an abduction splint, abandoning plaster cast. Secondary surgeries were performed in 11 hips (22.4%) at 3-7 years of age. Our results were 'satisfactory' (Severin Grade I, II) in 96% of the cases. According to the joints' Severin Grade, the total hip replacement probability at an early age is 8.16% in our series. Our principles and practice, introduced in 1980 in terms of secondary surgeries, are in total harmony with the recent literature.

Original languageEnglish
Pages (from-to)85-90
Number of pages6
JournalJournal of Pediatric Orthopaedics Part B
Issue number2
Publication statusPublished - Mar 1 2013



  • Developmental dislocation of the hip
  • Early open reduction
  • Long-term follow-up
  • No casting
  • No concomitant surgery

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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