Simultaneous Versus Staged Surgeries for the Treatment of Bilateral Developmental Hip Dysplasia in Walking Age: A Comparison of Complications and Outcomes

Overview

Journal Jt Dis Relat Surg

Date 2021 Nov 29

PMID 34842091

Citations 2

Authors

Mehmet Kose

Sinan Yilar

Murat Topal

Kutsi Tuncer

Ali Aydin

Kemal Zencirli

Affiliations

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Abstract

Objectives: This study aims to compare the radiological outcomes and rate of complication between single-stage and staged operation for the treatment of bilateral developmental dysplasia of the hip (DDH).

Patients And Methods: A total of 100 patients (13 males, 87 females; mean age: 18.1±2.1 months; range, 12 to 36 months) with bilateral DDH who were older than 15 months of age and treated with open reduction (OR) or Pemberton pericapsular osteotomy (PPO) were retrospectively analyzed. Of the patients, 48 were operated with OR and 52 were operated with PPO. Improvements in acetabular indices, presence of avascular necrosis, radiological results, and other complications were noted.

Results: There was no statistically significant difference in the preoperative acetabular indices, range of International Hip Dysplasia Institute (IHDI) classification, follow-up period, and age at the time of operation between the groups (p>0.05). There was no statistically significant difference in the acetabular indices, rate of avascular necrosis, and radiological results at the end of 24 months of follow-up between the groups (p>0.05).

Conclusion: Our study results show no significant difference in the radiological outcomes and complications between simultaneous and staged surgeries for the treatment of bilateral DDH in children in the walking age.

Citing Articles

Does epinephrine use reduce perioperative blood loss during pelvic and femoral osteotomy with open reduction of the patients with developmental dysplasia of the hip?.

Turkozu T Jt Dis Relat Surg. 2023; 34(3):694-699.

PMID: 37750275 PMC: 10546857. DOI: 10.52312/jdrs.2023.1282.

Early and mid-term results of Tönnis lateral acetabuloplasty for the treatment of developmental dysplasia of the hip.

Yonga O, Memisoglu K, Onay T Jt Dis Relat Surg. 2022; 33(1):208-215.

PMID: 35361097 PMC: 9057545. DOI: 10.52312/jdrs.2022.397.

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