Treatment Evaluation for Developmental Dysplasia of Hip Joint in Young Adults

Abstract

Background: Developmental dysplasia of the hip is a crucial condition of hip joint demobilizing the patient. If left untreated can cripple and cause premature arthritis at adulthood. Objective: To assess and compare the various methods of treatment, for patients suffering from developmental dysplasia of hip joint. Study Design: Prospective study Place and Duration of Study: Department of Orthopaedic, Sahara Medical College, Narowal from 1st July 2019 to 31st December 2020. Methodology: Forty five patients between 20-37 years of age were enrolled in the study having developmental dysplasia of hip. After complete radiological, physical and clinical examination the diagnosis of developmental dysplasia of hip joint was made. Demographic information was taken on well structured questionnaire. In a cohort study design patient were divided into three groups in accordance with their administered surgical protocol post their consent. Each group had 15 cases. Three various surgical procedures were performed keeping complete quality performance and recovery was followed up to six months of time. Results: The mean age was 33±1.2 years. The maximum number of patients was admitted between 26-31 years of age. A total of 45 patients were admitted (46 hips). Within which 35 patients (77.7%) were females and 5 (22.3%) were males. There were 27 hip having developmental dysplasia of hip joint at left side including one with be the left and right side involved. 94.1% treatment success rate of periacetabular osteotomy followed by hip arthroscopy. Conclusion: Periacetabular osteotomy is best surgical procedure for developmental dysplasia of hip in young adults. Key words: Developmental dypslasia, Hip joint, Treatment, Dislocation