15. Acetabular Index Correction by Dega Osteotomy in Developmental Dysplasia of the Hip (DDH) Surgery
Abbas Ali, Qaisar Khan, Imran Khan, Safeer Ullah, Rizwan Ullah and Ihtisham Anjum
ABSTRACT
Objective: This research examines whether Dega osteotomy corrects the acetabular index and improves functional results in 30 DDH patients.
Study Design: retrospective analysis study.
Place and Duration of Study: This study was conducted at the Orthopedic Department, Khyber Teaching Hospital (KTH), Peshawar between Jan 2021 to Jan 2022.
Methods: Dega osteotomy was performed on 30 pediatric patients with Developmental Dysplasia of the Hip (DDH) to restore the acetabular index. People with hip developmental dysplasia. The study used Dega osteotomy to correct the acetabular index and included before and postoperative radiographs. People with other hip issues. The study excluded individuals with incomplete medical records or no follow-up.
Results: In 30 cases (60% male, 40% female) were studied. Patients' ages ranged from 2 to 10 years, with 53.33% falling between 6-10 years, and 46.67% falling between 2-5 years. Before Dega osteotomy, the mean acetabular index ranged from 25 to 33 degrees. Subsequently those figures dropped: In that operation, it went up from 9 to 16 degrees on patients with a mean (± s. e . ) average of 12.1° degrees in our 50 cases treated using the operation. Statistical analysis showed the difference between before and after surgery to be significant (Z = 6.917, P < 0.01).
Conclusion: This study demonstrates that the surgical treatment of acetabular index and improving mobile function in Developmental Dysplasia of the Hip patients is effective.
Key Words: Developmental Dysplasia of the Hip (DDH), Dega osteotomy, Acetabular Index, Hip dysplasia, Surgical correction.