A comparison of the treatment of DDH in the older children by femoral shortening with a) acetabular shelf and b) innominate osteotomy plus shelf

Metin DOĞAN, Savaş AĞAOĞLU, Ali ÖÇGÜDER, Mahmut UĞURLU
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Abstract


To examine the surgical outcome of 2 different techniques used in the treatment of developmental dislocation of the hip with delayed diagnosis. Materials and methods: The patients were divided into 2 groups based on the technique applied: 21 hips of 18 patients were included in Group 1 and 20 hips of 16 patients were included in Group 2. Initially, all the patients were subjected to femoral osteotomy, shortening, varization and derotation. In Group 1, additionally extra-articular grafting was performed for acetabulum and in Group 2, acetabular osteotomy and extraarticular grafting were performed. The mean age of Group 1 was 8 years, and the mean age of Group 2 was 7 years. Results: The results were evaluated radiologically and clinically. The mean follow-up time was 4 years. In the patients under 7 years of age, successful results were obtained in both groups. Of 7 patients with poor outcome, 6 were older than 7 years of age. Conclusion: The surgical treatment of childhood developmental dislocation of the hip with delayed diagnosis is difficult. However, it can be concluded that, in patients 7 years old or younger with a diagnosis of developmental hip dislocation, the 2 techniques described here are effective.

Keywords


Key words: Developmental dislocation of the hip, delayed diagnosis, acetabuloplasty techniques

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