Original Research Article
Year: 2023 | Month: April-June | Volume: 8 | Issue: 2 | Pages: 405-412
DOI: https://doi.org/10.52403/ijshr.20230251
Outcome of Surgical Treatment of Developmental Dysplasia of the Hip in Aden, Yemen
Abdul Fatah Abbas Mansoor Haidarah
Associate Professor of Orthopedic Surgery, Department of Special Surgery Faculty of Medicine, Aden University
ABSTRACT
Background: Developmental dysplasia of hip is a common condition presenting to a pediatric orthopedic surgeon.
Objective: To evaluate the outcome of surgical treatment of developmental dysplasia of the hip.
Materials and Method: This retrospective study conducted at the Department of Orthopedic Surgery in Alnaqeeb private hospital in Aden.
The study children were 52 who were operated in the period from January 2016 to December 2018. Patient charts were reviewed and the collected data were sex, age, side, avascular necrosis, stiffness, re-dislocations, persistent acetabular dysplasia, and infection. The operations were open reduction and Pemberton's osteotomy plus minus femoral osteotomy without rotation.
Statistical analyses were performed using SPSS version 22. We expressed distribution of variables using means and standard deviation (SD). Fisher test was used and p-value ≤ 0.05 was considered as statistically significant.
Results: The majority of study children were females (80.8%). The age of the children ranged between 18 – 72 months. The mean age of children at surgery was 37 ± 17.5 months. The mean age of females was 37.2 ± 18.9 months while the mean age of males was 37.5 ± 10.7 months.
The most common side was in the left side (51.9%). The mean time of follow-up was 34.7 ± 6.4 (range 24-48) months.
Avascular necrosis found in (5.8%) children and stiffness found in (3.8%) children. Re-dysplasia of the hip were found in (5.8%) children. Persistent acetabular dysplasia was found in (3.8%) children. Additionally, we found superficial infection in (5.8%) children.
Conclusion: The open reduction approach produces a better clinical outcome. The outcome of treatment in our study was comparable to published studies.
Keywords: Developmental Dysplasia, hip, surgical treatment, outcome.