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Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study

Volume 7 | Issue 2 | May-August 2021 | Page: 02-06 | Qaisar Choudry, Robin W. Paton Authors: Qaisar Choudry [1], Robin W. Paton [1] [1] Department of Orthopaedics, East Lancashire Hospitals NHS Trust, England. Address of Correspondence Dr. Qaisar Choudry Department of Orthopaedics, East Lancashire Hospitals NHS Trust, England. E-mail: qaisar.choudry@elht.nhs.uk Abstract Aim: We aimed […]

Management of Acute Lateral Condyle Fractures of Humerus

Volume 7 | Issue 2 | May-August 2021 | Page: 30-34 | Sandeep Patwardhan, Arkesh Madegowda Authors: Sandeep Patwardhan [1], Arkesh Madegowda [1] [1] Department of Paediatric Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune Maharashtra, India. Address of Correspondence Dr Sandeep Patwardhan, Professor, Paediatric Orthopaedic surgeon, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India. E-mail: […]

Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study

Management of Acute Lateral Condyle Fractures of Humerus

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Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study

Volume 7 | Issue 2 | May-August 2021 | Page: 02-06 | Qaisar Choudry, Robin W. Paton

Authors: Qaisar Choudry [1], Robin W. Paton [1]

[1] Department of Orthopaedics, East Lancashire Hospitals NHS Trust, England.

Address of Correspondence
Dr. Qaisar Choudry
Department of Orthopaedics, East Lancashire Hospitals NHS Trust, England.
E-mail: qaisar.choudry@elht.nhs.uk

Abstract

Aim: We aimed to assess outcomes of a 12-year longitudinal observational study of developmental dysplasia of the hip (DDH) requiring surgical intervention.

Method: We conducted a prospective study from 2004 to 2015 of all cases of DDH undergoing surgical intervention. In addition to clinical examination, Tönnis acetabular index (AI) method and International Hip Dysplasia Institute (IHDI) grading used. Avascular necrosis of the femoral head (AVN) was assessed by the Kalamchi method.

Results & Discussion: There were 81 hips in 72 patients (12 male, 60 female). Mean age of the first operative procedure was 16.4 months (95% CI, 13.66 to 19.14). Mean follow up was 47.6 months (95% CI, 41.8 to 53.4). 31 children underwent closed reductions, 48 required open reduction; 17 femoral and 39 pelvic osteotomies were performed during the course of the study. Overall, post-surgery 96.3 % were noted to have an acceptable AI (< 2 SD of the mean). Five hips were considered to have poor results due to residual subluxation/ dislocation (6.2%). Evidence of avascular necrosis was present in 16 of the 81 hips (19.8%).

Higher grades of hip pathology were generally associated with a later age of diagnosis and likely to require more extensive surgical interventions.

Conclusion: Operative intervention for DDH results in acceptable clinical and radiographic outcomes in the vast majority of children.

Keywords: DDH, Developmental Dysplasia of the hip, Surgery.

References

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How to Cite this Article: Choudry Q, Paton RW | Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study | International Journal of Paediatric Orthopaedics | May-August 2021; 7(2): 02-06.

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Management of Acute Lateral Condyle Fractures of Humerus

Volume 7 | Issue 2 | May-August 2021 | Page: 30-34 | Sandeep Patwardhan, Arkesh Madegowda

Authors: Sandeep Patwardhan [1], Arkesh Madegowda [1]

[1] Department of Paediatric Orthopaedics, Sancheti Institute of Orthopaedics and Rehabilitation, Pune Maharashtra, India.

Address of Correspondence
Dr Sandeep Patwardhan,
Professor, Paediatric Orthopaedic surgeon, Sancheti Institute of Orthopaedics and Rehabilitation, Pune, Maharashtra, India.
E-mail: sandappa@gmail.com

Abstract

Lateral condyle fractures of humerus are one of the common elbow injuries seen in children. These fractures are often difficult to visualise as fracture line passes through unossified cartilage and may need additional investigations to properly assess the fracture pattern. Non operative management is generally indicated for fractures having <2mm displacement. Closed reduction and percutaneous pinning is recommended for those fractures with >2mm displacement and loss of articular cartilage hinge. Intraoperative arthrogram helps to confirm the fracture reduction and restoration of congruent articular surface. Open reduction and fixation may become necessary for fractures with gross displacement and malrotation of the fragment. Complications of lateral condyle fractures include delayed presentation, malunion, lateral spurring and fishtail deformity.
Keywords: Lateral condyle fractures, Internal oblique view, Arthrogram, Aartilage hinge, Displacement.

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How to Cite this Article: Patwardhan S, Madegowda A | Management of Acute Lateral Condyle Fractures of Humerus | International Journal of Paediatric Orthopaedics | May-August 2021; 7(2): 30-34.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study

Management of Acute Lateral Condyle Fractures of Humerus

Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study

Management of Acute Lateral Condyle Fractures of Humerus

Full Sized Blog Element (Big Preview Pic)

Surgical Treatment of Pathological Developmental Dysplasia of the Hip: A 12-Year Study

Authors: Qaisar Choudry [1], Robin W. Paton [1]

Abstract

References

(Article Text HTML) (Download PDF)

Management of Acute Lateral Condyle Fractures of Humerus

Authors: Sandeep Patwardhan [1], Arkesh Madegowda [1]

Abstract

(Article Text HTML) (Download PDF)

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