Simultaneous open reduction and Dega transiliac osteotomy for developmental dislocation of the hip in children under 24 months of age

J Pediatr Orthop. Sep-Oct 2005;25(5):695-701. doi: 10.1097/01.bpo.0000164877.97949.22.

Abstract

The authors studied retrospectively 33 hips in 26 children at an average of 9 years 5 months after simultaneous open reduction and Dega transiliac osteotomy for developmental dislocation of the hip (DDH). All children were younger than 2 years of life at surgery. At the latest follow-up 89% of the clinical results and 72% of the radiographic results were rated excellent or good, despite a 45% rate of avascular necrosis observed before surgery. The authors attempted to identify factors influencing the final result. Given the low complication rate (3%) and low reoperation rate (3%), the authors conclude that the reviewed surgical protocol is safe and efficient in the treatment of DDH in young children.

MeSH terms

  • Bone Diseases, Developmental / complications
  • Bone Diseases, Developmental / surgery*
  • Femur Head Necrosis / classification
  • Femur Head Necrosis / diagnostic imaging
  • Femur Head Necrosis / etiology
  • Hip / surgery*
  • Hip Dislocation / complications
  • Hip Dislocation / surgery*
  • Humans
  • Ilium / surgery*
  • Infant
  • Radiography