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Cochrane Database of Systematic Reviews

Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age

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Information

DOI:
https://doi.org/10.1002/14651858.CD012717Copy DOI
Database:
  1. Cochrane Database of Systematic Reviews
Version published:
  1. 04 July 2017see what's new
Type:
  1. Intervention
Stage:
  1. Protocol
Cochrane Editorial Group:
  1. Cochrane Developmental, Psychosocial and Learning Problems Group

Copyright:
  1. Copyright © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Authors

  • Kerry Dwan

    Correspondence to: Cochrane Central Executive, London, UK

    [email protected]

  • Jamie Kirkham

    Department of Biostatistics, University of Liverpool, Liverpool, UK

  • Robin W Paton

    East Lancashire Hospitals NHS Trust, Burnley, UK

    School of Medicine, University of Central Lancashire, Preston, Lancashire, UK

    University of Manchester, Manchester, UK

  • Emma Morley

    Steps, Warrington, UK

  • Ashley William Newton

    Health Education North West (Mersey), Liverpool, UK

  • Daniel C Perry

    Institute of Translational Medicine, University of Liverpool, Liverpool, UK

Contributions of authors

Kerry Dwan wrote the Methods section.
Jamie Kirkham wrote the Methods section.
Robin W Patton commented on the protocol.
Emma Morley commented on the protocol.
Ashley Willam Newton wrote the Background section and commented on the protocol.
Daniel C Perry wrote the Background section, commented on the protocol, and is guarantor of the review.

Sources of support

Internal sources

  • No sources of support supplied

External sources

  • National Institute of Health Research (NIHR), UK.

    Daniel C Perry is funded as an NIHR Clinician Scientist.

  • Steps, UK.

    Steps fund Emma Morley.

Declarations of interest

Kerry Dwan is a Statistical Editor with the Cochrane Central Executive.
Jamie Kirkham — none known.
Robin W Patton — none known.
Emma Morley — none known.
Ashely William Newton — none known.
Daniel C Perry — none known.

Acknowledgements

We thank Margaret Anderson for constructing the search strategy.

Version history

Published

Title

Stage

Authors

Version

2022 Oct 10

Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age

Review

Kerry Dwan, Jamie Kirkham, Robin W Paton, Emma Morley, Ashley W Newton, Daniel C Perry

https://doi.org/10.1002/14651858.CD012717.pub2

2017 Jul 04

Splinting for the non‐operative management of developmental dysplasia of the hip (DDH) in children under six months of age

Protocol

Kerry Dwan, Jamie Kirkham, Robin W Paton, Emma Morley, Ashley William Newton, Daniel C Perry

https://doi.org/10.1002/14651858.CD012717

Keywords

MeSH

Medical Subject Headings (MeSH) Keywords

Medical Subject Headings Check Words

Child; Female; Humans; Infant;

PICOs

Population
Intervention
Comparison
Outcome

The PICO model is widely used and taught in evidence-based health care as a strategy for formulating questions and search strategies and for characterizing clinical studies or meta-analyses. PICO stands for four different potential components of a clinical question: Patient, Population or Problem; Intervention; Comparison; Outcome.

See more on using PICO in the Cochrane Handbook.

Table 1. Graf classification system1

Graf

Sonographic hip type

Bony roof

Ossific rim

Cartilage rim

Alpha angle

Ia

Mature

Good

Sharp

Long and narrow, extends far over femoral head

> 60

Ib

Mature

Good

Usually blunt

Short and broad, but covers femoral head

> 60

IIa

Physiological delay in ossification > 3 months (physiological immature but stable hips)

Deficient

Rounded

Covers femoral head

50 to 59

IIb

Physiological delay in ossification > 3 months (inherently stable)

Deficient

Rounded

Covers femoral head

50 to 59

IIc

On point of dislocation (unstable, requires immediate treatment)

Deficient

Rounded or flat

Covers femoral head

43 to 49

IId

On point of dislocation

Severley deficient

Rounded or flat

Compressed

43 to 49

IIIa

Dislocated (subluxation)

Poor

Flat

Displaced upwards and echo poor

< 43

IIIb

Dislocated (subluxation)

Poor

Flat

Displaced upwards and more reflective than femoral head

< 43

IV

Dislocated (complete)

Poor

Flat

Interposed

< 43

Figures and Tables -
Table 1. Graf classification system1