Abstract
IntroductionDevelopmental dysplasia of the hip (DDH) is the most common congenital musculoskeletal abnormality. Recourse to definitive surgical treatment is not typically taken until over the age of 18–24 months. International consensus regarding age at surgery, degree of dysplasia requiring surgery and type of osteotomy is not available in the literature.Study aimsTo determine variation in timing and type of osteotomy for persistent DDH across the world.MethodologySenior authors of recent publications pertaining to hip dysplasia were sampled. Participants’ practice relating to age and radiological indications for surgery were determined.ResultsThirty-two surgeons responded from five different geographical regions. No inter-regional consensus was established regarding investigations to determine the need for osteotomy, preferred osteotomy type or ideal age at which to perform an osteotomy.ConclusionInternational agreement regarding the surgical management of DDH does not exist. This common congenital condition warrants development of a treatment algorithm.
Highlights
Developmental dysplasia of the hip (DDH) is the most common congenital musculoskeletal abnormality
International agreement regarding the surgical management of DDH does not exist
Our study aims to establish whether a consensus exists among paediatric orthopaedic surgeons regarding the timing and type of operative treatment of residual DDH
Summary
Developmental dysplasia of the hip (DDH) is the most common congenital musculoskeletal abnormality. International consensus regarding age at surgery, degree of dysplasia requiring surgery and type of osteotomy is not available in the literature. Study aims To determine variation in timing and type of osteotomy for persistent DDH across the world. No inter-regional consensus was established regarding investigations to determine the need for osteotomy, preferred osteotomy type or ideal age at which to perform an osteotomy. Developmental dysplasia of the hip (DDH) is a common musculoskeletal condition, referring to a spectrum of abnormalities of the hip joint, encompassing a range of abnormal morphologies from frank dislocation to hip dysplasia [1]. The estimated incidence of the condition varies widely (1.5–20 per 1,000 births) [3, 4], reflecting the spectrum of abnormalities under the heading of DDH. The literature does not offer straightforward evidence concerning the osteotomy type to be applied, with publications advocating the merits of various eponymous procedures [10,11,12]
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