Simultaneous versus staged surgeries for the treatment of bilateral developmental hip dysplasia in walking age: A comparison of complications and outcomes

Objective This study aimed to evaluate outcomes of the sequential one-stage combined procedure for treating bilateral developmental dysplasia of the hip (DDH) that was diagnosed after walking age. Methods Thirty-five patients (70 hips) with late-presenting bilateral DDH were treated with the sequential one-stage combined procedure. Hips were reclassified according to the operative time and divided into the first and the second operated hips. The outcomes were compared clinically and radiographically between the two sides preoperatively and postoperatively. Results The mean interval time between the two procedures was 5.9 months (range: 2–9 months). The first operated hip achieved better results than did the second operated hip. A total of 68.6% (24/35) of the patients in our series had an asymmetric outcome. Conclusions The sequential one-stage combined procedure is a challenge, but a reasonable alternative surgery for bilateral DDH in children after walking age. An asymmetric outcome is a special complication of this procedure.

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Medium-term results following arthroscopic reduction in walking-age children with developmental hip dysplasia after failed closed reduction

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-017-0635-7 ◽

2017 ◽

Vol 12 (1) ◽

Cited By ~ 4

Author(s):

Liang Zhao ◽

Hua Yan ◽

Changsheng Yang ◽

Daozhang Cai ◽

Yijun Wang

Keyword(s):

Closed Reduction ◽

Hip Dysplasia ◽

Medium Term ◽

Developmental Hip Dysplasia ◽

Arthroscopic Reduction ◽

Walking Age

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

Esculapio ◽

10.51273/esc20.2516415 ◽

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.

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