pattern of developmental dysplasia of the hip

This study was conducted to enlarge the knowledge of developmental dysplasia of the hip [DDH] in the Kingdom of Saudi Arabia [KSA], and to compare its presentation among Saudi population to known international figures. A prospective study of Saudi patients with DDH that presented to King Khalid University Hospital, Riyadh, KSA over 5 years starting September 1996. The information needed was obtained directly from one or both parents. Six hundred Saudi children were included in this study. The diagnosis of DDH was delayed in most patients. The results give an impression that parents' consanguinity, positive family history, breech deliveries and the use of swaddling have direct relation with increased incidence of DDH in the Saudi population. A national screening program is needed in KSA. Furthermore, nationwide studies will help to identify groups at risk and the geographical distribution of the disorder

Fixed forefoot adduction after clubfoot surgery

Studying the causes of residual forefoot adduction deformity after surgical treatment of congenital clubfoot and their management. Revision surgery was carried out by the author for 12 patients [13 feet] in King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia, during the period between January 1997 to December 1998. In 12 out of 13 feet, K-wire was not used to fix the navicular bone in its reduced position during primary surgery. In all cases, the navicular was found displaced during revision surgery. Revision of soft tissue surgery with relocation of the navicular bone improves the outcome of patients with residual fixed forefoot adduction after congenital talipes equinovarus surgery