Management of Hip Instability in Children
Volume 10 | Issue 2 | May-August 2024 | Page: 18-23 | Parmanand Gupta, Deepak Kumar
DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.186
Submitted: 02/06/2024; Reviewed: 26/06/2024; Accepted: 16/07/2024; Published: 10/08/2024
Authors: Parmanand Gupta MS Ortho [1], Deepak Kumar MS Ortho [1]
[1] Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
Address of Correspondence
Dr. Parmanand Gupta,
Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India.
E-mail: drpgupta123@gmail.com
Abstract
Post septic resorption and neglected hip dislocation due to hip dysplasia are the common causes of hip instability in children. The goal in such cases is to create a joint which is stable, painless and mobile hip and mimics the function of the original hip. Hip arthrodesis takes away the mobility of the hip whereas excision arthroplasty of the femoral head only addresses pain but not instability. Pelvic Support Osteotomy overcomes these limitations and addresses pain, instability as well as limp. A big drawback of this procedure remains failure to address limb length discrepancy as well as valgus at the knee. Adding a second osteotomy to the distal femoral shaft region addresses the problem of shortening as well as valgus malalignment of the limb resulting from the pelvic support osteotomy component. This procedure should preferably be performed in a child older than 12 years as doing it prior to this age often results in remodeling at the osteotomy site, thereby leading to less than optimal results with passage of time.
Keywords: Hip instability, Pelvic support osteotomy, Ilizarov HipConstruction
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| How to Cite this Article: Gupta P, Kumar D | Management of Hip Instability in Children| International Journal of Paediatric Orthopaedics | May-August 2024; 10(2): 18-23. https://doi.org/10.13107/ijpo.2024.v10.i02.186 |
