scholarly journals Presentation and Management of Neglected Developmental Dysplasia of Hip (DDH): 8-years’experience with single stage triple procedure

2018 ◽  
Vol 34 (3) ◽  
Author(s):  
Faridullah Khan Zimri ◽  
Syed Shujaat Ali Shah ◽  
Muhammad Saaiq ◽  
Faisal Qayyum ◽  
Muhammad Ayaz
Keyword(s):  
Developmental Dysplasia ◽  
Single Stage ◽  
Developmental Dysplasia Of Hip ◽  
Triple Procedure

scholarly journals EVALUATION OF AVASCULAR NECROSIS DURING MIDTERM FOLLOW UP IN DDH CASES TREATED BY SINGLE STAGE SURGERY IN THE WALKING AGE GROUP

2021 ◽  
pp. 6005-6010
Keyword(s):  
Femoral Head ◽  
Surgical Procedures ◽  
Open Reduction ◽  
Soft Tissues ◽  
Developmental Dysplasia ◽  
Single Stage ◽  
Age Group ◽  
Developmental Dysplasia Of Hip ◽  
Walking Age

Developmental dysplasia of hip (DDH) represents a spectrum of disorders in which the femoral head has an abnormal relationship to the acetabulum. Management of DDH presenting in walking stage are primarily surgical because of changes in femoral head, acetabulum and soft tissues around joint. We looked at the incidence of AVN during midterm follow up period in DDH patients in the walking age group who had undergone single stage surgery. Also it evaluates association of different variables with occurrence of AVN. The AVN of head of femur is assessed according to Kalamchi and MacEwen’s classification and AVN gradings were compared with different surgical procedures. In our study, higher incidence of AVN was seen patients who were operated at a higher age, who had higher preoperative Tonnis grading and those who required osteotomies with open reduction. But statistically significant correlation could not be established independently with any of the above mentioned variables.

scholarly journals Single-Stage Combined Surgery for Treating Neglected Bilateral Developmental Hip Dysplasia after Walking Age

Esculapio ◽  
2021 ◽  
Vol 16 (4 (oct 2020 - dec 2020)) ◽  
Author(s):  
Abdul Latif Shahid ◽  
Islam Hussain ◽  
Farhad Alam ◽  
Muhammad Nazir Awan ◽  
Hana Khurshid ◽  
...  
Keyword(s):  
Scoring System ◽  
Hip Dysplasia ◽  
Developmental Dysplasia ◽  
Single Stage ◽  
Anterolateral Approach ◽  
Combined Surgery ◽  
Developmental Hip Dysplasia ◽  
Developmental Dysplasia Of Hip ◽  
Walking Age ◽  
Grade Ii

Objectives: To determine outcome in Single Stage Surgery of Both Hips in Bilateral Developmental Dysplasia of Hip in Children after walking age. Methods: This was a retrospective review of 20 hips in 10 patients (7 females and 3 males), operated at the children's hospital and the institute of child health, Lahore between 2014 and 2016. The age of patients was between 2 and 5 years. There were 10 hips in grade IV, 6 in grade III and 4 in grade II according to Tonnis classification. Both hips were operated in single stage. Open reduction of hip joint was done by anterolateral approach in all children. Salter osteotomy was done in every child while femoral shortening was needed in 10 hips. Outcome of single stage surgery was assessed by radiological assessment of Severin's scoring system and functional assessment of MacKay's scoring system at final followup after 2 years of suegery. Results: There was no effect of age, gender, malnutrition, body mass index on outcome. According to Severin's scoring system, 14 hips (70%) were in grade I while 6 (30%) in grade II. Outcome was excellent in 6 hips (30%), good in 13 (60%) and fair in 1 (5%) by applying MacKay's scoring system. Hip spica of one child was changed after one month due to wetting with urine. There was no hip dislocation or subluxation in any case. Conclusion: Single stage surgery of both hips can be done safely in bilateral developmental dysplasia of hip by anterolateral approach in late presented children. Key Words: Developmental dysplasia of hip, Single stage surgery. How to Cite: Latif A.S, Hussain I, Alam F, Nazir M. A, Khurshid H., B. Zulqernain. Single-stage combined surgery for treating neglected bilateral developmental hip dysplasia after walking age. Esculapio.2020;16(04):70-73.

scholarly journals Results of surgical treatment of developmental dysplasia of hip considering child’s age

2011 ◽  
Vol 139 (1-2) ◽  
pp. 58-63 ◽  
Author(s):  
Sonja Milasinovic
Keyword(s):  
Surgical Treatment ◽  
Human Life ◽  
Functional Results ◽  
Developmental Dysplasia ◽  
Preoperative Treatment ◽  
Locomotor System ◽  
Developmental Dysplasia Of Hip ◽  
Innominate Osteotomy ◽  
Medical Documents ◽  
Late Discovery

Introduction. Developmental dysplasia of the hip (DDH) represents one of common diseases of the locomotor system. Late discovery and inadequate healing of this defect leads to serious disability in the best years of human life. Objective. The aim of this study was to analyze the quality of functional and anatomic restitution of the diseased hip, depending on the age of the patient at the time of surgery. Methods. Our retrospective study was developed on 78 children surgically treated for DDH. The examiners were distributed in three groups according to age in which they had been operated. The data were produced on the basis of full-scale medical documents for each patient. Results. We analyzed and compared anatomic and functional results of surgeries treating DDH in the group of examiners. On examination, we got data that the most prevalent were distorted gait, inequality of the legs and positive Trendelendburg?s sign in the group of children who had been operated in the oldest age. The patients who were surgically treated in older age had worse postoperative results in aspect value angle of flexion and abduction in treated hip, higher frequency in manifesting pain and asymmetric gait. Better corrective results on aspect of dimension of the colodiaphyseal and Hilgenrainer?s angle will be obtained if DDH treatment is conducted in younger age of patients. In 94.95%, the patients were treated with Salter innominate osteotomy of pelvis with osteotomy of the femur involving its shortening and reverse rotation. Preoperative treatment with Pavliks harness was provided in 44.02% children, with abduction of Hilgenrainer?s apparatus in 2.6%, with abductions ?Niva? slips in 2.6% and preoperative extension in 28.2%. Conclusion. The surgical treatment of DDH in the observed patients done at the earlier age of growth resulted in the evidently better anatomical and functional results at postoperative observation.

scholarly journals Developmental Dysplasia of Hip Screening Using Ortolani and Barlow Testing on Breech Delivered Neonates

2011 ◽  
Vol 5 (3) ◽  
pp. 13-16 ◽  
Author(s):  
AR Sulaiman ◽  
Zakaria Yusof ◽  
I Munajat ◽  
NAA Lee ◽  
Zaki Nik
Keyword(s):  
Developmental Dysplasia ◽  
Developmental Dysplasia Of Hip

scholarly journals Capsular arthroplasty for neglected developmental dysplasia of hip

2018 ◽  
Vol 26 (2) ◽  
pp. 230949901877788 ◽  
Author(s):  
Saeed Ahmad ◽  
Irfan Qadir ◽  
Atiq uz Zaman ◽  
Chiragh Muhammad Khan ◽  
Shahzad Javed ◽  
...  
Keyword(s):  
Hip Dislocation ◽  
Developmental Dysplasia ◽  
Harris Hip Score ◽  
Functional Evaluation ◽  
Short Term ◽  
Scoring Method ◽  
Developmental Dysplasia Of Hip ◽  
Femoral Shortening ◽  
Shelf Procedure

Introduction: Treatment of developmental dysplasia of hip (DDH) diagnosed after 10 years of age is extremely difficult because of the soft tissue and bone deformities. In this study, we evaluated short-term results of a single-stage procedure performed with surgical hip dislocation, femoral shortening and capsular arthroplasty. Patients and Methods: A retrospective review of charts of five patients with DDH, older than 10 years, who underwent capsular arthroplasty at Ghurki Trust Teaching Hospital between 2013 and 2015 was performed. Post-operative functional evaluation was performed using modified McKay’s scoring system and radiographic assessment using Severin’s scoring method at a minimum of 2-year follow-up. Results: We present results of five patients (six hips) with a mean age of 18.16 years. All patients had limping gait and International Hip dysplasia Institute classification (IHDI) class 4 hip dislocation. Harris hip score showed a significant improvement (53.13 vs 84.16; p = 0.0001). Femoral shortening of 2–2.5 cm was done. Additional shelf procedure was required in one patient. This patient persistently has post-operative hip subluxation. All patients had good to excellent outcomes according to McKay classification. Post-operative Severin classification was 1A in all patients. No case of avascular necrosis of the femoral head was noted during the follow-up. Conclusion: Capsular arthroplasty with subtrochanteric shortening is a useful procedure for neglected cases of DDH in patients older than 10 years.

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