Evaluation of the Results of Open Reduction, Capsulorraphy and Femoral Derotational Osteotomy in Walking Age Children with Developmental Dysplasia of Hip with Late Presentation
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2013, Vol 25, Issue 02
Abstract
To evaluate the results of open reduction, capsulorraphy and femoral derotational osteotomy with shortening in walking age children suffering from developmental dysplasia of hip with late presentation. Study design: A prospective study. Place: Department of Orthopedics, Lady Reading Hospital Peshawar. Duration of study: From Jan 2004 to Jan 2010. Patients and methods: Twenty three hips presented in 22 patients with developmental dysplasia of hip in walking age children ranging from 30 months to 70 months who were treated with open reduction, capsulorraphy and femoral derotational osteotomy with or without shortening. All patients were kept in hip spica for 12 weeks followed by abduction splint for three months. Results: Result shows that 20 out of 23 hips had excellent outcome and they remained reduced throughout their follow up. Two out of 23 hips redislocated. One child went into avascular necrosis. Conclusion: we concluded that open reduction, capsulorraphy and femoral derotational osteotomy with shortening is an effective method of treatment of late presented developmental dysplasia of hip in walking age children.
Authors and Affiliations
MIAN AMJAD ALI, IHSANUDDIN, FAIZULLAH JAN, KHALID KHAN, SYED AMJID HUSSAIN
Keywords
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