Postoperative clinical and radiological assessment of patients with developmental dysplasia of hip after open reduction and salter osteotomy

Samad Muhamad  Saeed; Zainab Abdul Wahab  Muhamad Reda

doi:10.56056/amj.2020.120

Authors

Samad Muhamad Saeed M.B.Ch.B; Specialty: Orthopedic surgery; Training center: Erbil Teaching Hospital.
Zainab Abdul Wahab Muhamad Reda M.B.Ch.B, F.I.B.MS.Ortho; Specialty: Orthopedic surgery; Training center: Erbil Teaching Hospital.

DOI:

https://doi.org/10.56056/amj.2020.120

Keywords:

Developmental dysplasia of the hip, Open reduction, Salter osteotomy, Outcomes

Abstract

Background and objectives:Developmental dysplasia of the hip is one of the most important and challenging condi- tions in pediatric orthopedics. If not diagnosed and treated on time, it leads to remarkable morbidity. This study aimed to assess the clinical and radiological outcomes of open reduction and Salter osteotomy in patients with developmental d ysplasia of the hip .

Methods:In this trial, a total of 30 children aged 18 months - 6 years of both genders who were diagnosed with Developmental dysplasia of the hip underwent open reduction and Salter osteotomy and were followed up for one year for clinical and radiological improvements.

Results: The median age of the patients was 3.0, ranging from 18 months - 6 years. The study showed that 26 (86.7%) and 27 (90.0%) of patients obtained normal hip locations following six months and one year, respectively. The overall final clinical results were excellent in 15 patients (50.0%), good in 9 (30.0%), fair in 3 (10.0%), and poor in 3 (10.0%) following six months of the surgery. One of the patients with grade II hip dislocation converted to grade III according to Tönnis classification following one year. No avascular necrosis of the ossific nucleus was seen in most of the cases. However, two of the patients with no sign of avascular necrosis converted to avascular necrosis grade III according to Kalamchi classification following one year.

Conclusions: The study suggests that the operative treatment of developmental dysplasia of hip following the walking age is an effective procedure to obtain satisfactory results.

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