One stage treatment of DDH in children older than two years with special reference to acetabular remodeling

ABSTRACT

We reviewed the results of twenty patients [twenty-five hips] who had operative treatment for correction of neglected developmental dislocation of the hip. We had special interest in the study of acetabular remodeling potential after open reduction and femoral osteotomy. Marked spontaneous correction of the acetabular index was observed in all but one hip and only one pelvic osteotomy was needed for full correction of this hip. The average follow-up was five years and three months [2-6 years]. At the end of follow up the acetabular index improved from an average of 34 degrees preoperatively [range 30 degrees to 40 degrees] to 18 degrees postoperatively [range 12 degrees to 22 degrees]