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Comparison of soft-tissue and bone surgeries in the treatment of developmental dysplasia of the hip in 1824-month-old patients

Bulut, Mehmeta; Karakurt, Lokmanb; Azboy, Ibrahima; Demirtas, Abdullaha; Ersoz, Galipb; Belhan, Oktayb

Journal of Pediatric Orthopaedics B:
doi: 10.1097/BPB.0b013e328364227e
Hip & Femur
Abstract

The aim of this study was to compare soft-tissue and bone surgeries in 18–24-month-old patients with developmental dysplasia of the hip (DDH). A total of 77 hips of 53 patients were analyzed. Soft-tissue surgery was performed in 31 hips of 25 patients. In the final examination, 23 hips, excluding hips of eight patients who underwent secondary bone surgery, were evaluated (group I). Bone surgery was performed on 46 hips of 28 patients (group II). In group I, the acetabular index was 41° preoperatively and was 20.4° in the final examinations. In group II, the acetabular index was 42° preoperatively and was 15° in the final examinations. To avoid unnecessary surgeries and complications, soft-tissue surgery should be preferred for DDH in 18–24-month-old patients.

Author Information

aDepartment of Orthopaedics and Traumatology, Dicle University Medical Faculty, Diyarbakir

bDepartment of Orthopaedics and Traumatology, Firat University Medical Faculty, Elazig, Turkey

Correspondence to Mehmet Bulut, MD, Department of Orthopedics and Traumatology, Dicle University Medical Faculty, 21218, Diyarbakir, Turkey Tel: +90 412 248 8001/+90 412 248 4908; fax: +90 412 248 8440; e-mail: bulmeh@yahoo.com

© 2013 by Lippincott Williams & Wilkins, Inc.