Re-dislocation After Primary Open Reduction in DDH-Management and Early Results
Volume 6 | Issue 2 | May-August 2020 | Page: 48-52 | Vivek Singh, Sunny Chaudhary, Ramapriya Yasam, Varun Garg, Sitanshu Barik
Authors : Vivek Singh [1], Sunny Chaudhary [1], Ramapriya Yasam [1], Varun Garg [1], Sitanshu Barik [1]
[1] Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Address of Correspondence
Dr. Vivek Singh,
Flat No-1/3,First floor,Type 2B,AIIMS Residential Complex,
Veerbhadra Marg, Rishikesh, Uttarakhand,India.
E-mail: singhvr27gmail.com
Abstract
Operative intervention is frequently required in children with developmental dysplasia of hip(DDH) who are >18 months old.The major early and delayed complications following operative intervention are redislocation, avascular necrosis, residual dysplasia and instability. Re-dislocation following primary successful reduction is a devastating
complication. The revision surgery is usually prolonged with more blood loss, risk of further complications and long term immobilisation in a spica cast. The revision surgery is technically demanding and require a lot of preoperative planning. There also remains a possibility of never achieving the reduction of femoral head. The authors present their experience of four cases of DDH which were successfully reduced by open reduction at index procedure but later re-dislocated and required secondary surgery. Careful preoperative planning with CT scan is a must,correcting the abnormal femoral version and providing the femoral head the coverage where exactly it is required is needed. The children after secondary procedure must always be kept under closed supervision till maturity.
Keywords: DDH; Re-dislocation; Open reduction.
References
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| How to Cite this Article: Singh V, Chaudhary S, Yasam R, Garg V, Barik S | Re-dislocation After Primary Open Reduction in DDH-Management and Early Results | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 48-52. |
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