Surgical Treatment of Mild Hip Dysplasia in Combination with Pembersal and Femoral Osteotomy

Abstract

The aim of this study was to show the clinical and radiographic mid-term results of Pembersal and femoral osteotomy without open reduction in patients with mild dysplasia of the hip joint. This case series included 13 Developmental Dysplasia of the Hip (DDH) patients (13 hips), who underwent a combination of Pembersal and femoral osteotomy without open reduction between January 2014 and June 2020. The patients comprised 12 females (93%) and 1 male (8%), with a mean age at surgery of 24.29.40 months (range: 17-51 months) and the average follow-up was 31.413.2 months (range: 12-49 months). The mean acetabular index decreased significantly from 36.6 0 4.87 0 (range:30 0 -46 0 ) preoperatively, to 18 0 1.41 0 (range: 15 0 -21 0 ) at the final follow-up examination (p<0.001). Avascular necrosis (AVN) was not seen in any patient. The results showed that this kind of surgical procedure seems to be successful at the mid-term follow-up in mild hip dysplasia patients. The most important point was that avascular necrosis was not seen in any of the patients with this technique.