Developmental Dysplasia of the Hip
Conditions
Brief summary
Developmental dysplasia of the hip (DDH) was one of the most common hip disorders disease in children. Pemberton osteotomy (PO) was one of the most widely used by the pediatric orthopedic surgeons. In our clinical work, the investigators found some defect the operation procedure. When the surgeons were not familiar to the PO, it may injured the triradiate cartilage or easily be absorbable of the distal iliac. Here, the investigators found a new pelvic osteotomy just from the inner L shaped iliac osteotomy (ILSO) to treat DDH. This approach was in a visible part of the sciatic notch and not presumed to be in the ischium, completely out of sight. Comparing to the PO method, the investigators' operation method was easy to master and had less complications.
Interventions
There were two ostectomies were used in the osteotomy. The first was was a cured and 5mm width and the second one was straight 1.5cm width. All the directions was started from the inner to outer just a bove the triradiate cartilage and its shape likeL
Sponsors
Study design
Eligibility
Inclusion criteria
* over two years old * open reduction and acetabular osteotomy * diagnosed as developmental dysplasia of the hip
Exclusion criteria
* a previous history of DDH surgery * teratologic dislocations * cerebral palsy * other spastic or neuromuscular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| preoperative acetabular index | 6th month after surgery | preoperative acetabular index by measure the postoperative X-ray |
| Wiberg's mean center-edge angle | 6th month after surgery | center-edge angle by measure the postoperative X-ray |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| blood loss | 1st day after surgery | blood loss during surgery |
| avascular necrosis (AVN) | through study completion, an average of 1 year | avascular necrosis (AVN) of the femoral head according to the Kalamchi and McEwen classification |