Spontaneous Correction of Extreme Degree Femur Ante –Version in Developmental Dysplasia of the Hip | ||
Kirkuk Journal of Medical Sciences | ||
Articles in Press, Accepted Manuscript , Available Online from 27 December 2022 | ||
Document Type: Original research | ||
DOI: 10.32894/kjms.2022.137425.1048 | ||
Author | ||
Yousif Rashid Mohammed ![]() | ||
college of medicine - HMU - Department of surgery - Lecturer | ||
Abstract | ||
Developmental Dysplasia of the hip is common problem , both severe acetabular dysplasia and proximal femoral ante-version are the main pathology that should be managed as early as possible . Patients and Methods Between June 1994 and December 2018 , a total of 626 hips with Developmental Dysplasia were treated according to their age at presentation . Results In 110 hips ( out of the total 132 hips , underwent surgery ) treated by open reduction with or with out salter innominate osteotomy , the following results were achieved : A – In all these cases , there was severe degree of femoral ante-version ( Intra-operative evaluation ) and this was found in 100% of the patients with developmental dysplasia ( D . D . H ) , specially in those children above 2 years of age . B – Open reduction with Salter Innominate Osteotomy gave excellent results in 72 hips within the age group 18 month -2.5 years . There was no indication for femoral shortening to be performed in these patients . CONCLUSION In all children with developmental dysplasia of the hip younger than 2.5 years of age, there will be spontaneous correction of femoral ante-version and there was no indication for de-rotational osteotomy of the proximal femur even in extreme degree of femoral ante-version . | ||
Keywords | ||
DDH,,; ,،,؛Femoral Ante-Version,,; ,،,؛Salter Innominate Osteotomy | ||
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