title: Simultaneous open reduction and Dega transiliac osteotomy for developmental dislocation of the hip in children under 24 months of age.
abstract: The authors studied retrospectively 33 hips in 26 children at an average of 9 years 5 months after simultaneous open reduction and Dega transiliac osteotomy for developmental dislocation of the hip (DDH). All children were younger than 2 years of life at surgery. At the latest follow-up 89% of the clinical results and 72% of the radiographic results were rated excellent or good, despite a 45% rate of avascular necrosis observed before surgery. The authors attempted to identify factors influencing the final result. Given the low complication rate (3%) and low reoperation rate (3%), the authors conclude that the reviewed surgical protocol is safe and efficient in the treatment of DDH in young children.
authors.affiliation: Orthopaedic Department, Poznań University of Medical Sciences, Poznań, Poland. krisrusz@poczta.onet.pl
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Ruszkowski
authors.forename: Andrzej
authors.initials: A
authors.lastname: Pucher
mesh_terms: D001848:Bone Diseases, Developmental / Q000150:complications / Q000601:surgery*; D005271:Femur Head Necrosis / Q000145:classification / Q000000981:diagnostic imaging / Q000209:etiology; D006615:Hip / Q000601:surgery*; D006617:Hip Dislocation / Q000150:complications / Q000601:surgery*; D006801:Humans; D007085:Ilium / Q000601:surgery*; D007223:Infant; D011859:Radiography