Open Reduction of Developmental Dislocation of the Hip in Patients Older than Eight Years.
10.4055/jkoa.2004.39.7.797
- Author:
In Young OK
1
;
Seok Jung KIM
;
In Jun KOH
;
Ji Hoon OK
Author Information
1. Department of Orthopedic Surgery, Kang-Nam St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
After age of 8;
DDH;
Open Reduction
- MeSH:
Dislocations*;
Female;
Follow-Up Studies;
Gait;
Hip Joint;
Hip*;
Humans;
Leg;
Male;
Osteotomy;
Range of Motion, Articular
- From:The Journal of the Korean Orthopaedic Association
2004;39(7):797-803
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the outcome and effectiveness of an open reduction in DDH for the patients 8 years and older. MATERIALS AND METHODS: Fourteen patients older than 8 years and diagnosed with DDH were treated by an open reduction, femoral shortening, and varus derotational osteotomy, combined with or without a Chiari osteotomy from August, 1981 to November, 2002 However, one patient was treated without femoral shortening. The mean age of the patients besides the 2 patients of failure at the time of surgery was 13.1 years (range 8-23), the mean follow up duration was 9.1 years (range 1-22 years). There were 6 cases of left side involvement of DDH, and 5 cases of right side involvement, while the remaining were both sides. One case was male and the others were female, and all hips were dislocated completely. RESULTS: One hip out of 14 patients was not unreduced intraoperatively. One hip showed a redislocation during the follow up period. Eleven patients gained almost the full range of motion of the affected hip except for one patient. Five out of the 12 patients showed a normal gait without limping and pain, and 3showed a slight limping gait but was much improved compared with the preoperative state. Four patients showed a limping gait due to a leg length discrepancy, and the limping gait of one patient was corrected by femoral lengthening. The average Harris hip score among the patients except for 2 cases of failure was 94.6. Nine patients were excellent and 3 patients were good. CONCLUSION: A neglected DDH should be treated positively Because a functionally good hip joint can be obtained after an open reduction of a developmentally dislocated hip, even after the age of 8.
