Clinical and radiological evaluation of the open reduction, Dega osteotomy and derotational femoral osteotomy for management of DDH after walking age | ||||
Minia Journal of Medical Research | ||||
Article 55, Volume 30, Issue 3, July 2019, Page 262-267 PDF (286.85 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mjmr.2022.221958 | ||||
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Authors | ||||
Ahmed O. Youssef; , Mohamed Y. Hassan; Assem M. Nor El-Den; Mohamed A. Nagy | ||||
Department of Orthopedic, El-Minia Faculty of Medicine | ||||
Abstract | ||||
Introduction: Developmental dysplasia of the hip (DDH) is a result of altered hip joint morphology and on a worldwide basis occurs between 0.87 and 10.5 per 1000 live births. Aim of the work: Clinical and radiological evaluation of the open reduction, Dega osteotomy, and derotational femoral osteotomy for management of DDH after walking age Patient and Method: A retrospective study of 17 patients diagnosed with DDH managed by open reduction, Dega osteotomy, and femoral derotational osteotomy (FDO) and fixation by plate and screws. Results: Our study includes 13 female and 4 male patients and the age ranges from (1.5-3.7) years with a mean of 2.5±0.7 According to McKay modified criteria 20.83% (5 hips) were rated as excellent, 70.83% (17 hips) were rated as good, 4.16% (one hip) was rated as fair, and 4.16% (one hip) was rated as poor. While the radiological results were evaluated by Severin classification included 79.2% (19 hips) were type I , 12.5% (3 hips) were type II, 4.16% (one hip) was type III, and 4.16% (one hip) was type VI. Conclusion: In the management of DDH after walking age we perform open reduction, Dega osteotomy and femoral derotational osteotomy. | ||||
Keywords | ||||
Developmental dysplasia of the hip; derotational femoral osteotomy | ||||
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