12. Pre-OP Shortening Assessment and Per OP Shortening Needed In Developmental Dysplasia of the Hip (DDH) Surgery in Children
Imran Khan, Qaisar Khan, Abbas Ali, Safeer Ullah, Rizwan Ullah and Ihtisham Anjum
ABSTRACT
Objective: This retrospective study examines the role of pre-operative shortening evaluation in surgical planning and open reduction correction in pediatric patients with hip developmental dysplasia.
Study Design: A retrospective research
Place and Duration of Study: This study was conducted at the Department of Orthopedic, Khyber Teaching Hospital (KTH), Peshawar from January 2021 to January 2022.
Methods: A retrospective research examines pre-operative shortening assessments and peri-operative shortening correction in hip developing dysplasia surgery. The study included 95 hip-developmental dysplasia-diagnosed children aged 2–10.
Results: The research included 95 individuals diagnosed with hip dysplasia, with a predominant proportion of females (50.53%) and the majority falling between the age range of 5-7 years (42.10%). The pre-operative X-ray measurements revealed a mean Hilgenreiner's angle of 28.5 degrees and an acetabular index angle of 30.8 degrees. The majority of patients (68.42%) were classed as mild hip dysplasia. A strong negative association was seen between pre-operative shortening and peri-operative correction, showing that a larger pre-operative shortening was associated with a greater surgical correction.
Conclusion: This study sheds light on pediatric hip dysplasia surgery. Open reduction with capsulorrhaphy and osteotomy was performed in most moderate hip dysplasia patients.
Key Words: Developmental Dysplasia of the Hip (DDH), pre-operative assessment, peri-operative correction.