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Evaluation of the Results of Open Reduction, Capsulorraphy and Femoral Derotational Osteotomy in Walking Age Children with Developmental Dysplasia of Hip with Late Presentation
Keywords:
Developmental dysplasia of hip, open reduction, capsulorraphy and femoral derotational osteotomy.Abstract
Objective: 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.
References
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2. Weinstein SL, Mubarak SJ, Wenger DR. Developmental hip dysplasia and dislocation: Part I. Instr Course Lect. 2004; 53: 523–30.
3. Wedge JH, Wasylenko MJ: The natural history of congenital dislocation of the hip: a critical review. Clinical Orthopaedics and Related Research 1978; 137: 154-62.
4. Oz g u r AF, Ak s o y MC, Ka n d emi r U, Karcaaltncaba M, Aydingoz U, Yazici M et al. Does Dega osteotomy increase. acetabular volume in developmental dysplasia of the hip? J Pediatr Orthop B 2006;15: 83-6.
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6. Wilkinson JA, Sedgwick EM. Occult spinal dysraphism in established congenital dislocation of the hip. J Bone Joint Surg Br. 1988; 70: 744–9.
7. Wynne-Davies R. Acetabular dysplasia and familial joint laxity: two etiological factors in congenital dislocation of the hip. A review of 589 patients and their families. J Bone Joint Surg Br. 1970; 52: 704–16.
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9. Umer M, Nawaz H, Kasi PM, Ahmed M, Ali SS. Outcome of Triple Procedure in Older Children with Developmental Dysplasia of Hip (DDH). Journal of Pakistan Medical Association 2007;57:591.
10. Berkeley ME, Dickson JH, Cain TE, Donovan MM.. Surgical therapy for congenital dislocation of the hip in patients who are twelve to thirty-six months old. J Bone Joint Surg 1984;66:412-20.
11. Gage JR, Winter RB. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip. A critical review of twenty years' experience at Gillette Children's Hospital. J Bone Joint Surg Am 1972;54:373-8.
12. Schoenecker PL, Strecker WB. Congenital dislocation of hip in the children. Comparison of the effects of femoral shortening and of skeletal traction in the treatment. J Bone Joint Surg Am 1984;66:21-7.
13. Bucholz RW, Ogden JA. Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip. Proceedings of the Sixth Open Scientific Meeting of The Hip Society, The C.V. Mosby Company, St. Louis 1978; pp 43-63.
14. Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1980;62:876-88.
15. Thomas CL, Gage JR, Odgen JA. Treatment concepts for proximal femoral ischemic necrosis complicating congenital hip disease. J Bone Joint Surg Am 1982;64:817-28.
16. Wedge JH, Wasylenko MJ. The natural history of congenital disease of the hip. J Bone Joint Surg. (Br) 1979;61:334-8.
17. Michael G. Vitale, MD, MPH and David L. Skaggs, MD. Developmental Dysplasia of the Hip From Six Months to Four Years of Age: J Am Acad Orthop Surg November/December2001;9(6);401-411.
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19. Lindstrom JR, Ponseti IV, Wenger DR. Acetabular development after reduction in congenital dislocation of the hip. J Bone Joint Surg Am 1979;61:112-8.
20. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am 1994;76:1777-92.
21. Browne RS. The management of late diagnosed congenital dislocation and subluxation of the hip. with special reference to femoral shortening. J Bone Joint Surg Br 1979;61:7-12.
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23. Shih CH, Shih HN. One stage combined congenital dislocation of the hip joint, late operation of congenital dislocation of the hips results of closed reduction and arthrographic in older children. J Paediatr Orthop1988; 8:535-9.
24. . Chidambaram S, Abd Halim AR, Yeap JK,Ibrahim S. Revision surgery for developmental dysplasia of the hip. Med J Malaysia 2005;60:91-8.
25. Banskota AK, Paudel B, Pradhan I, Bijukachha B, Vaidya R, Rajbhandary T. Results of simultaneous open reduction and salter innominate osteotomy for developmental dysplasia of the hip. Kathmandu Uni Med J 2005; 3:6-10.
26. Vallamshelta VR, Mughal E, O'Hara JW.Congenital dislocation of the hip. A reappraisal of the upper age limit for treatment. J Bone Joint Surg [Br] 2006; 88:1076-81.
27. Storer SK, Skaggs DL. Developmental dysplasia of the hip. Am Fam Physician 2006;74:1310-6.
28. . Karakas ES, Baktir A, Argun M, Tuk CY. One-stage treatment of congenital dislocation of the hip in older children. J Pediatric Orthop 1995;15:330-6.
29. Klisic P, Jankovic L, Basara V. Long-term results of combined operative reduction of the hip in older children. J Pediatric Orthop 1988;8:532-4.
30. Ryan MG, Johnson LO, Quanbeck DS, Minkowitz Bl. One stage treatment of congenital dislocation of the hip in children three to ten years old. Functional and radiographic results. J Bone Joint Surg Am 1998;80:336-44.
31. Stuart L. Weinstein, Scott J. Mubarak and Dennis R. Wenger. Developmental Hip Dysplasia and Dislocation: Part I J Bone Joint Surg Am. 2003;85:1824-32.
32. Stuart L. Weinstein, Scott J. Mubarak and Dennis R. Wenger. Developmental Hip Dysplasia and Dislocation: Part II. J Bone Joint Surg Am 2003;85:2024-35.
33. Zadeh H. G. Catterall A, Hashemi A N, Perry R. E. Test of stability as an aid to decide the need for osteotomy in association with open reduction in developmental dysplasia of the hip: the journal of bone and joint surgery january 2000;82-b(1).
2. Weinstein SL, Mubarak SJ, Wenger DR. Developmental hip dysplasia and dislocation: Part I. Instr Course Lect. 2004; 53: 523–30.
3. Wedge JH, Wasylenko MJ: The natural history of congenital dislocation of the hip: a critical review. Clinical Orthopaedics and Related Research 1978; 137: 154-62.
4. Oz g u r AF, Ak s o y MC, Ka n d emi r U, Karcaaltncaba M, Aydingoz U, Yazici M et al. Does Dega osteotomy increase. acetabular volume in developmental dysplasia of the hip? J Pediatr Orthop B 2006;15: 83-6.
5. Clarke NMP. Developmental dysplasia of the hip. In: Bulstrode C, ed. Oxford Textbook of Orthopedics, Trauma. Oxford, UK: Oxford University Press; 2002: 2543–8.
6. Wilkinson JA, Sedgwick EM. Occult spinal dysraphism in established congenital dislocation of the hip. J Bone Joint Surg Br. 1988; 70: 744–9.
7. Wynne-Davies R. Acetabular dysplasia and familial joint laxity: two etiological factors in congenital dislocation of the hip. A review of 589 patients and their families. J Bone Joint Surg Br. 1970; 52: 704–16.
8. Salter RB. Congenital dislocation of hip: the musculoskeletal system. Baltimore: Williams & Wilkins, 1970; 98-106.
9. Umer M, Nawaz H, Kasi PM, Ahmed M, Ali SS. Outcome of Triple Procedure in Older Children with Developmental Dysplasia of Hip (DDH). Journal of Pakistan Medical Association 2007;57:591.
10. Berkeley ME, Dickson JH, Cain TE, Donovan MM.. Surgical therapy for congenital dislocation of the hip in patients who are twelve to thirty-six months old. J Bone Joint Surg 1984;66:412-20.
11. Gage JR, Winter RB. Avascular necrosis of the capital femoral epiphysis as a complication of closed reduction of congenital dislocation of the hip. A critical review of twenty years' experience at Gillette Children's Hospital. J Bone Joint Surg Am 1972;54:373-8.
12. Schoenecker PL, Strecker WB. Congenital dislocation of hip in the children. Comparison of the effects of femoral shortening and of skeletal traction in the treatment. J Bone Joint Surg Am 1984;66:21-7.
13. Bucholz RW, Ogden JA. Patterns of ischemic necrosis of the proximal femur in nonoperatively treated congenital hip disease. In: The hip. Proceedings of the Sixth Open Scientific Meeting of The Hip Society, The C.V. Mosby Company, St. Louis 1978; pp 43-63.
14. Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1980;62:876-88.
15. Thomas CL, Gage JR, Odgen JA. Treatment concepts for proximal femoral ischemic necrosis complicating congenital hip disease. J Bone Joint Surg Am 1982;64:817-28.
16. Wedge JH, Wasylenko MJ. The natural history of congenital disease of the hip. J Bone Joint Surg. (Br) 1979;61:334-8.
17. Michael G. Vitale, MD, MPH and David L. Skaggs, MD. Developmental Dysplasia of the Hip From Six Months to Four Years of Age: J Am Acad Orthop Surg November/December2001;9(6);401-411.
18. Herold HZ, Daniel D. Reduction of neglected congenital dislocation of the hip in children over the age of six years. J Bone Joint Surg (Br) 1979;61:1-6.
19. Lindstrom JR, Ponseti IV, Wenger DR. Acetabular development after reduction in congenital dislocation of the hip. J Bone Joint Surg Am 1979;61:112-8.
20. Malvitz TA, Weinstein SL. Closed reduction for congenital dysplasia of the hip. Functional and radiographic results after an average of thirty years. J Bone Joint Surg Am 1994;76:1777-92.
21. Browne RS. The management of late diagnosed congenital dislocation and subluxation of the hip. with special reference to femoral shortening. J Bone Joint Surg Br 1979;61:7-12.
22. Galpin RD, Roach JW, Wenger DR, Herring JA, Birch JG. One-stage treatment of congenital dislocation of the hip in older children, including femoral shortening. J Bone Joint Surg Am 1989;71:734-41.
23. Shih CH, Shih HN. One stage combined congenital dislocation of the hip joint, late operation of congenital dislocation of the hips results of closed reduction and arthrographic in older children. J Paediatr Orthop1988; 8:535-9.
24. . Chidambaram S, Abd Halim AR, Yeap JK,Ibrahim S. Revision surgery for developmental dysplasia of the hip. Med J Malaysia 2005;60:91-8.
25. Banskota AK, Paudel B, Pradhan I, Bijukachha B, Vaidya R, Rajbhandary T. Results of simultaneous open reduction and salter innominate osteotomy for developmental dysplasia of the hip. Kathmandu Uni Med J 2005; 3:6-10.
26. Vallamshelta VR, Mughal E, O'Hara JW.Congenital dislocation of the hip. A reappraisal of the upper age limit for treatment. J Bone Joint Surg [Br] 2006; 88:1076-81.
27. Storer SK, Skaggs DL. Developmental dysplasia of the hip. Am Fam Physician 2006;74:1310-6.
28. . Karakas ES, Baktir A, Argun M, Tuk CY. One-stage treatment of congenital dislocation of the hip in older children. J Pediatric Orthop 1995;15:330-6.
29. Klisic P, Jankovic L, Basara V. Long-term results of combined operative reduction of the hip in older children. J Pediatric Orthop 1988;8:532-4.
30. Ryan MG, Johnson LO, Quanbeck DS, Minkowitz Bl. One stage treatment of congenital dislocation of the hip in children three to ten years old. Functional and radiographic results. J Bone Joint Surg Am 1998;80:336-44.
31. Stuart L. Weinstein, Scott J. Mubarak and Dennis R. Wenger. Developmental Hip Dysplasia and Dislocation: Part I J Bone Joint Surg Am. 2003;85:1824-32.
32. Stuart L. Weinstein, Scott J. Mubarak and Dennis R. Wenger. Developmental Hip Dysplasia and Dislocation: Part II. J Bone Joint Surg Am 2003;85:2024-35.
33. Zadeh H. G. Catterall A, Hashemi A N, Perry R. E. Test of stability as an aid to decide the need for osteotomy in association with open reduction in developmental dysplasia of the hip: the journal of bone and joint surgery january 2000;82-b(1).
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2018-03-03
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Evaluation of the Results of Open Reduction, Capsulorraphy and Femoral Derotational Osteotomy in Walking Age Children with Developmental Dysplasia of Hip with Late Presentation. (2018). Journal of Pakistan Orthopaedic Association, 25(2), 5-8. http://jpoa.org.pk/index.php/upload/article/view/46
