Role of Proximal Femoral Osteotomy in the Management of Developmental Dysplasia of Hip

Volume 6 | Issue 2 | May-August 2020 | Page: 33-38 | Prateek Behera


Authors: Prateek Behera [1]

[1] Department of Orthopedics, All India Institute of Medical Sciences, Bhopal, 462020 India

Address of Correspondence
Dr. Prateek Behera,
Department of Orthopedics, All India Institute of Medical Sciences,
Bhopal, 462020 India
E-mail: pbehera15@outlook.com , prateek.ortho@aiimsbhopal.edu.in


Abstract

Proximal femoral osteotomy as a component of the treatment of developmental dysplasia of hip (DDH) has been used for almost a century now, after being described by Hey-Groves in 1928. Over the years, understanding of its role has evolved alongside our improved knowledge on the pathoanatomy and biomechanics of DDH. It has come a long way from being used exclusively in older walking children; being used as the only other concomitant procedure with open reduction of hip and being used with pre-determined values to be achieved on table, to its present state of being an indispensable component of the a la carte approach of the treatment of DDH. A femoral osteotomy is used for shortening, decreasing the femoral anteversion, or for producing a varus at the proximal femur. The surgical technique has remained largely unchanged over the years although proximal femoral locking plates are increasingly employed in addition to the traditional options such as angle blade plate, DCP, or one-third tubular plates. This review aims to analyze and summarize the current understanding of the role played by a proximal femoral osteotomy in the management of DDH.
Keywords: Developmental dysplasia of hip; Proximal femoral osteotomy; Varus derotation osteotomy; Avascular necrosis of femoral head.


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How to Cite this Article: Behera P | Role of Proximal Femoral Osteotomy in the Management of
Developmental Dysplasia of Hip | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 27-32.

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