Outcomes of Revision Open Reduction and Dega Osteotomy after Failed Surgery of Developmental Dysplasia of HIP (DDH) | ||
| Al-Azhar International Medical Journal | ||
| Volume 2025, Issue 7, July 2025, Pages 192-199 PDF (510.82 K) | ||
| Document Type: Original Article | ||
| DOI: https://doi.org/10.21608/aimj.2025.446659 | ||
| Authors | ||
| Mohamed Elsayed Atta Elfeky* ; Mohamed Adel Abdelhamid; Bahaa Ali Kornah | ||
| Department of Orthopedics, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Developmental dysplasia of the hip (DDH) is a significant and extensively researched subject in pediatric orthopaedics. In Revision, surgery aims to overcome the reason for the failed primary treatment and improve the acetabular coverage. Aim: To evaluate the clinical and radiological outcomes of revision open reduction and Dega osteotomy after failed surgery of DDH. Methods: This research has been conducted on 20 cases (16 unilateral and four bilateral). All the patients had unsuccessful treatment for DDH. Aged ranged from two to five years, all patients underwent a comprehensive assessment, which included the collection of obstetric history, family history related to DDH, and details of any previous treatment interventions. Furthermore, a clinical examination was conducted, accompanied by radiological evaluations. Results: A highly statistically significant improvement was observed in Acetabular Index (AI) degree, radiological evaluation, and clinical evaluation by McKay between Pre-operative and Postoperative (P-value <0.001). A statistically insignificant variance was discovered among previous treatment groups regarding radiological grade, AI degree, revision surgery, postoperative AI degree, Center-Edge Angle (CE) angle, and postoperative clinical evaluation by McKay among the studied patients. Conclusions: With Dega osteotomy, we obtained normal or near-normal radiological parameters with insignificant increase in the rate of AVN in DDH cases. we support the use of the Dega acetabuloplasty in cases of revision open reduction after failed surgery of developmental dysplasia of hip, in kids age group between two to five years. | ||
| Keywords | ||
| Dega Osteotomy; Open Reduction; Failed Surgery; Developmental Dysplasia; Hip | ||
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