Published online Mar 6, 2024. doi: 10.12998/wjcc.v12.i7.1320
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
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)" com
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.
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.