Functional treatment of developmental hip dysplasia with the Tubingen hip flexion splint

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dc.contributor.authorAtalar, Hakan
dc.contributor.authorGunay, Cuneyd
dc.contributor.authorKomurcu, Mahmut
dc.date.accessioned2025-10-24T18:10:09Z
dc.date.available2025-10-24T18:10:09Z
dc.date.issued2014
dc.departmentMalatya Turgut Özal Üniversitesi
dc.description.abstractObjective: Developmental dysplasia of the hip (DDH) is a deformity that may cause to serious disability. Early diagnosis and early treatment are very important. Our aim is to report the outcomes of infants with DDH who were treated with the Tubingen hip flexion splint. Materials and methods: Retrospectively, 49 patients (45 female, four male; 60 hips) diagnosed with DDH were included in the study. For diagnosis, all patients underwent ultrasonography of the hip performed according to the Graf method. Infants whose hips were Graf type 2b or worse underwent orthotic treatment. Treatment success was defined as development into a mature hip (Graf type 1 on ultrasonography and no acetabular dysplasia apparent on the latest radiograph). Results: Overall median age at the start of treatment was 18 weeks (14-25). Median total treatment time (from initial application of the splint to the end of weaning) was 17 weeks (14-20). Median duration of follow up was 13.5 months (8.5-31.5). Treatment was successful in 56/60 hips (93.3%). Of the 56 successfully treated patients, acetabular dysplasia was present early in follow up but later resolved in 4 patients. No complications were encountered in any patients in the study. Conclusion: The Tubingen splint proves abduction but due to its different design it offers the advantages of preventing hip adduction and leaving the knee and ankle joints free. Our findings suggest that in infants with DDH, the Tubingen hip flexion splint is an effective form of treatment.
dc.identifier.doi10.5301/hipint.5000128
dc.identifier.endpage301
dc.identifier.issn1120-7000
dc.identifier.issn1724-6067
dc.identifier.issue3
dc.identifier.pmid24619870
dc.identifier.scopus2-s2.0-84901800756
dc.identifier.scopusqualityQ1
dc.identifier.startpage295
dc.identifier.urihttps://doi.org/10.5301/hipint.5000128
dc.identifier.urihttps://hdl.handle.net/20.500.12899/4003
dc.identifier.volume24
dc.identifier.wosWOS:000344640200013
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSage Publications Ltd
dc.relation.ispartofHip International
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_20251023
dc.subjectHip dysplasia; Congenital; Orthotic devices; Therapy; Ultrasonography
dc.titleFunctional treatment of developmental hip dysplasia with the Tubingen hip flexion splint
dc.title.alternativeFunctional treatment of developmental hip dysplasia with the Tübingen hip flexion splint
dc.typeArticle

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