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Volume 10 | Issue 2 | May-August 2024 | Page: 01 | Jayanth S. Sampath DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.180 Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1] [1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India. Address of Correspondence Dr. Jayanth S. Sampath, Rainbow Children’s Hospital, Bangalore, Karnataka, India. E-mail: editor.posi.ijpo@gmail.com Editorial Limb reconstruction surgery […]

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 […]

Editorial

Management of Hip Instability in Children

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Editorial

Volume 10 | Issue 2 | May-August 2024 | Page: 01 | Jayanth S. Sampath

DOI- https://doi.org/10.13107/ijpo.2024.v10.i02.180

Authors: Jayanth S. Sampath FRCSEd (Tr & Orth) [1]

[1] Department of Orthopaedics, Rainbow Children’s Hospital, Bangalore, Karnataka, India.

Address of Correspondence

Dr. Jayanth S. Sampath,
Rainbow Children’s Hospital, Bangalore, Karnataka, India.
E-mail: editor.posi.ijpo@gmail.com

Editorial

Limb reconstruction surgery in children has evolved into the treatment of choice for complex deformities of the limb and foot. The power of gradual correction with stable fixation devices of varying complexity have overcome the limitations of traditional open surgery. It is an important and potent skill in the hands of the paediatric orthopaedic surgeon.
This issue of IJPO presents an overview of the principles and practice in modern limb reconstruction surgery. We start with an article on basic deformity correction principles followed by a detailed description of radiological assessment of deformity. The subsequent articles provide a comprehensive overview of the management of Blount disease, hip instability, complex foot deformities, arthrogryposis and limb deficiencies. We are proud that the authors are from institutions across the world, each offering a unique perspective to the management of these difficult problems. Please share the articles with your trainees and fellows. IJPO issues are easily downloadable free of charge and in full-text format from our website www.ijpoonline.com
We invite your suggestions and comments for any improvements to the journal. Kindly write to us editor.ijpo@gmail.com or editor@posi.org.in
It is my pleasure to acknowledge the contributions of authors, reviewers, editors, and the backend team who have been instrumental in bringing out this issue. The cover page artwork by Dr Easwar T R, POSI Webmaster illustrates the correction of a child with tibia vara using an external fixator. It emphasises that the most successful treatments in our armamentarium are not necessarily complicated but are based on a firm understanding of the pathological anatomy of deformity and the application of a standardised method in practice.

Sincerely

Dr Jayanth S Sampath
Editor,

International Journal of Paediatric Orthopaedics

How to Cite this Article: Sampat JS | Editorial | International Journal of Paediatric Orthopaedics | May-August 2024;10(2): 01. https://doi.org/10.13107/ijpo.2024.v10.i02.180

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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

References

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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

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Management of Hip Instability in Children

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Management of Hip Instability in Children

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Management of Hip Instability in Children

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