Yu XX, Chen JY, Zhan HS, Liu MD, Li YF, Jia YY. Treatment of bilateral developmental dysplasia of the hip joint with an improved technique: A case report. World J Clin Cases 2024; 12(7): 1320-1325 [PMID: 38524521 DOI: 10.12998/wjcc.v12.i7.1320]
Corresponding Author of This Article
Yu-Yan Jia, MD, Doctor, College of Traditional Chinese Medicine, The Affiliated Hospital of Changchun University of Chinese Medicine, No. 1478 Gongnong Road, Changchun 130021, Jilin Province, China. jiayuyan2021@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xing-Xing Yu, Jian-Ye Chen, Ming-Da Liu, Yun-Fei Li, College of Traditional Chinese Medicine, Changchun University of Traditional Chinese Medicine, Changchun 130117, Jilin Province, China
Hong-Sheng Zhan, Shi's Traumatology Medical Center, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China
Yu-Yan Jia, College of Traditional Chinese Medicine, The Affiliated Hospital of Changchun University of Chinese Medicine, Changchun 130021, Jilin Province, China
Co-first authors: Xing-Xing Yu and Jian-Ye Chen.
Author contributions: Yu XX and Chen JY wrote the paper; Liu MD and Li YF reviewed the literature related to this disease; Zhan HS collected the patient’s clinical data; Jia YY reviewed the paper. All the authors carefully examined the manuscript, put forward their opinions, and finally approved the manuscript. Yu XX and Chen JY are co-first authors. There are three main reasons for appointing the two authors as the co-first authors. First, the purpose of setting up co-first authors is to better control the quality of the manuscript and facilitate timely response to experts' questions. Second, all the authors agree to set up common first authors, because they have spent the same time and energy on this article. Finally, due to co-writing the manuscript, the article will be presented to readers more comprehensively and quickly. In a word, all the authors agree that they are the co-first authors, which also reflects the cooperative spirit of the whole team.
Informed consent statement: Informed written consent was obtained from the patient’s parents for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu-Yan Jia, MD, Doctor, College of Traditional Chinese Medicine, The Affiliated Hospital of Changchun University of Chinese Medicine, No. 1478 Gongnong Road, Changchun 130021, Jilin Province, China. jiayuyan2021@163.com
Received: November 1, 2023 Peer-review started: November 1, 2023 First decision: December 31, 2023 Revised: January 8, 2024 Accepted: February 5, 2024 Article in press: February 5, 2024 Published online: March 6, 2024 Processing time: 120 Days and 16 Hours
Abstract
BACKGROUND
Developmental dysplasia of the hip (DDH) is a common osteoarticular deformity in pediatric orthopedics. A patient with bilateral DDH was diagnosed and treated using our improved technique "(powerful overturning acetabuloplasty)" combined with femoral rotational shortening osteotomy.
CASE SUMMARY
A 4-year-old girl who was diagnosed with bilateral DDH could not stand normally, and sought surgical treatment to solve the problem of double hip extension and standing. As this child had high dislocation of the hip joint and the acetabular index was high, we changed the traditional acetabuloplasty to "powerful turnover acetabuloplasty" combined with femoral rotation shortening osteotomy. During the short-term postoperative follow-up (1, 3, 6, 9, 12, and 15 months), the child had no discomfort in her lower limbs. After the braces and internal fixation plates were removed, formal rehabilitation training was actively carried out.
CONCLUSION
Our "powerful overturning acetabuloplasty" combined with femoral rotational shortening osteotomy is feasible in the treatment of DDH in children. This technology may be widely used in the clinic.
Core Tip: Developmental dysplasia of the hip is a common disease in children, which may be related to genetic, environmental, and mechanical factors. Because of the particularities of this case, a special surgical method was adopted. On the basis of traditional surgery, we made slight improvements to obtain a better curative effect.
