Simultaneous versus staged surgeries for the treatment of bilateral developmental hip dysplasia in walking age: A comparison of complications and outcomes
Mehmet Köse1, Sinan Yılar1, Murat Topal2, Kutsi Tuncer1, Ali Aydın1, Kemal Zencirli3
1Department of Orthopedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum, Turkey
2Department of Orthopedics and Traumatology, Kastamonu University Faculty of Medicine, Kastamonu, Turkey
3Department of Orthopedics and Traumatology, Kozluk State Hospital, Erzurum, Turkey
Keywords: Avascular necrosis, developmental dysplasia of the hip, osteotomy, simultaneous surgery, single-stage.
Objectives: This study aims to compare the radiological outcomes and rate of complication between single-stage and staged operation for the treatment of bilateral developmental
dysplasia of the hip (DDH).
Patients and methods: A total of 100 patients (13 males, 87 females; mean age: 18.1±2.1 months; range, 12 to 36 months) with bilateral DDH who were older than 15 months of age and treated with open reduction (OR) or Pemberton pericapsular osteotomy (PPO) were retrospectively analyzed. Of the patients, 48 were operated with OR and 52 were operated with PPO. Improvements in acetabular indices, presence of avascular necrosis, radiological results, and other complications were noted.
Results: There was no statistically significant difference in the preoperative acetabular indices, range of International Hip Dysplasia Institute (IHDI) classification, follow-up period, and age at the time of operation between the groups (p>0.05). There was no statistically significant difference in the acetabular indices, rate of avascular necrosis, and radiological results at the end of 24 months of follow-up between the groups (p>0.05).
Conclusion: Our study results show no significant difference in the radiological outcomes and complications between simultaneous and staged surgeries for the treatment of bilateral DDH in children in the walking age.
The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
The authors received no financial support for the research and/or authorship of this article.