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How to Determine the Type of Femoral Osteotomy in the Management of Developmental Dysplasia of the Hip: a Prospective Case Series by Aly, Ahmad Saeed is a Medicine article available to read on EtoBox.

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## Background: Developmental dysplasia of the hip (DDH) is a disease that presents with multiple abnormalities, varying from mild dysplasia to frank dislocation. Management of DDH is determined by the patient’s age, and the best results are gained if treatment is initiated at an early age. ## Methods: This prospective case series study included 40 hips (37 patients) with primary DDH, that had open reduction and capsulorrhaphy. According to the measured caput-collum-diaphyseal (CCD) angle, the patients were classified into two groups. Group 1 was assigned femoral derotation osteotomy (FDO) and included 20 hips (19 patients) with normal CCD angle ≤140 degrees. Group 2 was assigned femoral varus derotation osteotomy (VDO) and included 20 hips (18 patients) with coxa valga and increased CCD angle >140 degrees. All patients were followed a minimum of 2 yr with a mean of 3.96±1.45 yr (range 2 to 7 yr). ## Results: The mean postoperative Sharp’s acetabular index was 17.65±3.69 degrees in group 1 as compared to 20.85±6.64 degrees in group 2. There was a significant difference between both groups in limb-length discrepancy, persistent Trendelenburg sign, and residual coxa vara. ## Conclusio

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Author

Aly, Ahmad Saeed

Publisher

Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Lippincott Williams & Wilkins Ltd.; Ovid Technologies (Wolters Kluwer Health) (ISSN 1940-7041)

Published

2020

Language

EN

Field

Medicine (Health Sciences)