Residual Hip Dysplasia in Children With Unilateral Hip Dislocation—Does Side Matter?

Background: Developmental dysplasia of the hip (DDH) is the most common musculoskeletal abnormality in infants and young children. Despite the fact that the left hip is most frequently affected, literature and clinical experience suggest a poorer outcome for right-sided hip dislocation in DDH. On the basis of this hypothesis, we studied the outcomes (residual dysplasia, number of surgeries, and complication rate) of right-sided unilateral hip dislocation in comparison with left-sided unilateral hip dislocation in DDH up to 8 years follow-up. Methods: We identified all patients with unilateral hip dislocation at Erasmus MC Sophia Children’s Hospital from 2002 to 2012, diagnosed with DDH before the age of 1 year and with a minimum follow-up of 8 years. The primary outcome was residual dysplasia (based on an acetabular index (AI)>18 degrees and center-edge angle of Wiberg (CEA)
Source: Journal of Pediatric Orthopaedics - Category: Orthopaedics Tags: Hip Source Type: research