Background:
Numerous pelvic osteotomies for management of developmental dysplasia of the hip have been described. Dega transiliac osteotomy, is an acetabuloplasty that changes the inclination and the acetabular configuration.
Objective:
To study a group of patients with DDH treated by open reduction and Dega transiliac osteotomy, to determine the advantages and disadvantages, as well as, evaluate the results of such procedure.
Patients and methods:
This study was conducted during the period, from October 2012 to October 2016, on 29 hips, in 19 children, with neglected DDH after
Walking age, all diagnosed late or after the failure of conservative treatment.
The mean age at the time of surgery was 27.6 months ranging from 18 to 48 months. All hips were followed up clinically and radiologically for a mean period of 33.6 months (range from 18 to 48 months). No patient was lost to follow up.
Results:
Satisfactory final clinical results were obtained in 24 hips McKay’s criteria. Radiologically, satisfactory results were obtained in 24 hips (82.8) and unsatisfactory in five (17.2%), according to Severin’s criteria.
Conclusion:
The results of our series show Dega transiliac osteotomy combined with open reduction is a safe and efficient method for the surgical treatment in
selected patients with DDH, and can easily and safely correct acetabular dysplasia.