Children with Developmental Dysplasia of Hip - Our Experience of Outcome at a Tertiary Care Centre

Mian Qaisar Ali Shah; Rizwana Bashir Kiani; Asrar Ahmad; Hamza Ali Malik; Javed Ur Rehman; Zahid Anwar

doi:10.51253/pafmj.v74i5.8082

Authors

Mian Qaisar Ali Shah Department of Orthopedic Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Rizwana Bashir Kiani Department of Neuro-Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Asrar Ahmad Department of Pediatric Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Hamza Ali Malik Department of General Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Javed Ur Rehman Department of Pediatric Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
Zahid Anwar Department of Pediatric Surgery, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i5.8082

Keywords:

Osteotomy, Single-stage, Triple procedure.

Abstract

Objective: To assess the operative outcome of children who underwent surgical management for developmental dysplasia hip at a tertiary care center.

Study Design: Case series.

Place and Duration of Study: Pak-Emirates Military Hospital, Rawalpindi Pakistan, from Jan to Oct 2021.

Methodology: This case series included 25 children who underwent triple procedure encompassing open reduction, femoral shortening and Salter’s pelvic osteotomy. Post-operative analysis of the clinical outcome was done using McKay’s classification and radiological assessment done using Severin’s classification.

Results: Age of enrolled participants ranged from 02 to 07 years, mean age being 4.3±1.45 years, of which 8(32%) were male and 17(68%) were female. Mean pre-operative acetabular index was 40.3±3.38 while the mean post-operative acetabular index was 25.1±3.10. On follow-up, one child had subluxation while another had complete dislocation of the hip joint.

Conclusion: Triple procedure with open reduction, femoral shortening and Salter’s osteotomy gives satisfactory results in patients aged 2 to 7 with substantial reduction in post-operative acetabular index.

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