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Can we Predict The Need for Secondary Procedures in Walking DDH?

Volume 6 | Issue 2 | May-August 2020 | Page: 53-58 | Hitesh Chauhan Authors: Hitesh Chauhan [1] [1] Pediatric Orthopaedic Surgeon, Radiant Children’s Hospital, Jodhpur, Rajasthan Address of Correspondence Dr. Hitesh Chauhan, Pediatric Orthopaedic Surgeon, Radiant Children’s Hospital, Jodhpur, Rajasthan E-mail: hitsanu5@gmail.com Abstract In developmental dysplasia of the hip (DDH) diagnosed after walking age, […]

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 […]

Can we Predict The Need for Secondary Procedures in Walking DDH?

Re-dislocation After Primary Open Reduction in DDH-Management and Early Results

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Can we Predict The Need for Secondary Procedures in Walking DDH?

Volume 6 | Issue 2 | May-August 2020 | Page: 53-58 | Hitesh Chauhan

Authors: Hitesh Chauhan [1]

[1] Pediatric Orthopaedic Surgeon, Radiant Children’s Hospital, Jodhpur, Rajasthan

Address of Correspondence
Dr. Hitesh Chauhan,
Pediatric Orthopaedic Surgeon,
Radiant Children’s Hospital, Jodhpur, Rajasthan
E-mail: hitsanu5@gmail.com

Abstract

In developmental dysplasia of the hip (DDH) diagnosed after walking age, primary intervention in the form of open reduction with or without femoral and innominate osteotomy is the mainstay of treatment. Even in those where the primary reduction has been successful, many will require Further Corrective Surgery (FCS) at a later date. This review article discusses the factors which are important in predicting the need for FCS.
Keywords: DDH; Hip joint arthritis; Hip impingement; Hipdysplasia; Osteotomies in hip dysplasia.

References

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How to Cite this Article: Chauhan H | Can we Predict The Need for Secondary Procedures in Walking DDH? | International Journal of Paediatric Orthopaedics | May-August 2020; 6(2): 53-58.

(Abstract) (Full Text HTML) (Download PDF)

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

1. Hsiech SM, Huang SC. Treatment of developmental dysplasia of the hip after failed open reduction. J Formos Med Assoc, 1998; 97: 763–9.
2. McCluskey WP, Bassett GS, Mora-Garcia G, MacEwen GD (1989) Treatment of failed open reduction for congenital dislocation of the hip. J Paediatr Orthop, 1989; 9: 633–9.
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4. Kershaw CJ, Ware HE, Pattinson R, Fixsen JA. Revision of failed open reduction of congenital dislocation of the hip. J Bone Joint Surg Br, 1993; 75: 744-9
5. Chmielewski J, Albiñana J. Failures of open reduction in developmental dislocation of the hip. J Pediatr Orthop B, 2002; 11: 284-9
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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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Can we Predict The Need for Secondary Procedures in Walking DDH?

Re-dislocation After Primary Open Reduction in DDH-Management and Early Results

Can we Predict The Need for Secondary Procedures in Walking DDH?

Re-dislocation After Primary Open Reduction in DDH-Management and Early Results

Full Sized Blog Element (Big Preview Pic)

Can we Predict The Need for Secondary Procedures in Walking DDH?

Authors: Hitesh Chauhan [1]

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

Re-dislocation After Primary Open Reduction in DDH-Management and Early Results

Authors : Vivek Singh [1], Sunny Chaudhary [1], Ramapriya Yasam [1], Varun Garg [1], Sitanshu Barik [1]

Abstract

References

(Abstract) (Full Text HTML) (Download PDF)

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