. The Principles Of Ddh (developmental Dysplasia Of Hip) Treatment
The recommended treatment for Developmental Dysplasia of the Hip (DDH) in infants under 6 months includes bracing, which is considered the gold standard. Treatment should ideally be initiated before 6 months of age, and historically has involved manual reduction and rigid positioning. Treatment options may include braces, non-surgical procedures, or surgery, with the goal of achieving and maintaining a concentric reduction of the femoral head in the acetabulum. Even with treatment, there is a risk for the development of osteoarthritis. More resistant cases or older children may require a combination of treatments, including braces, casts, traction, or surgery.
The correct answer is: d. In the age group of 12-24 months, delaying treatment after 3 years is better.
All other options are consistent with the principles of DDH treatment: a. The goal is to achieve a stable femur head fixation in the acetabulum. b. In some cases, femoral shortening derotation osteotomy is required. c. In some cases, pelvic osteotomy is required. e. After surgical reconstruction, patients are subjected to spica cast.
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