Acetabuloplasty in the Treatment of Congenital Dislocation of the Hip

Abstract

The results in 102 acetabuloplasties have been assessed in eighty-six patients, with a minimum follow-up of five years. Clinical and radiological assessment was carried out according to a score system very similar to that used in previous studies, and the results were expressed as excellent, good, fair and poor according to the score obtained. Any hip requiring further stabifising procedures was automatically grouped as a failure. Subtrochanteric femoral osteotomy was used when femoral anteversion was excessive. The results revealed that 73 per cent of the hips were satisfactory (excellent or good) overall, but that a steady deterioration was evident when the five-and fifteen-year groups were compared. Few of the hips were regarded

Outcome in Unilateral or Bilateral DDH Treated with One-stage Combined Procedure

“…Our results suggest patients who had bilateral DDH and were treated with a one-stage combined procedure before the age of 5.5 years had better results than did patients who had the operation after that age. Modified scores of Trevor et al [23] showed the patients with DDH who were treated with a one-stage combined operation before the age of 8 years had better results than did patients who had the operation after that age. We also observed a negative correlation between patients' ages and their scores in Group II.…”

“…Limb length, in particular, could be subject to variations. We used a categorical rating system; these are often subject to greater interobserver variability; the scoring system of Trevor et al [23] was reported in 1975 and has never been validated against any independent measure. Further, all measurements were carried out by a single author (OC).…”

“…Clinical and radiological evaluations were carried out in accordance with a modified score system of Trevor et al [21,23] (Table 1). The maximum score on this system is 20 points and the minimum 5.…”

“…We asked whether age associated with unilateral or bilateral dislocation influences a combined clinical and radiographic score (modified from Trevor et al [23]) in patients with neglected DDH who underwent one-stage combined procedures, and whether age influenced acetabular development (acetabular index) and risk of osteonecrosis.…”

Outcome of surgical management of developmental dysplasia of hip in children between 18 and 24 months

“…According to Trevor et al . it is very rarely necessary in children under 2-year-old 7. Conventionally, additional pelvic procedures are reserved in older children with RAD after open or closed reduction.…”