Acetabuloplasty in therapy of severe dysplasia of the hip: case report
Authors:
Rendek Pavol; Halas Matúš; Kubičková Paulína; Bevilaqua Jana; Kokavec Milan
Authors‘ workplace:
Ortopedická klinika LF UK a Národný ústav detských chorôb, Bratislava
Published in:
Clinical Osteology 2024; 29(1-2): 25-28
Category:
Overview
Developmental dysplasia of the hip (DDH) is a prearthrotic hip defect requiring therapy from neonatal age. The Slovak population has an above-average incidence of DDH, which is why hip screening using the triple-screen method has been introduced in the Slovak Republic. When the most severe form of dysplasia is detected – hip luxation and obstructions preventing the reposition of the femoral head into the acetabulum, surgical treatment is indicated. During surgery, evacuation of the acetabulum is performed, i.e. removal of all repositioning obstacles. Subsequently, a Dega acetabuloplasty and capsuloplasty are performed. In some cases, the femur has to be derotated and shortened to ensure hip stability. In our case report, we publish the operative course and postoperative outcome in a patient with subluxation of the femoral head and significant overgrowth of the acetabulum with fibrous adipose tissue. The patient is one year postoperatively and the acetabuloplasty provides excellent coverage of the femoral head. Hip mobility is preserved and there has been no development of avascular necrosis.
Keywords:
acetabuloplasty – developmental dysplasia of the hip
Sources
Jacobsen S. Adult hip dysplasia and osteoarthritis: studies in radiology and clinical epidemiology. Acta Orthop Suppl 2006; 77(324): 1–37.
Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop Relat Res 1987; 225: 62–76.
Kokavec M, Gerincová E, Sameková H et al. Vývojová dysplázia bedra a jej prevencia pomocou ultrasonografie. Novinky v pediatrii III. XVI. Gertlákov deň. Bratislava 2006.
Rendek P, Kokavec M, Chládek P. Artrografia bedrového kĺbu u detí a adolescentov. Bedeker zdravia 2020; 3.
Nedomová B, Hargaš M. Základné princípy anestézie u novorodencov. Pediatr Prax 2019; 20(3): 108–111. Dostupné z WWW: <https://www.solen.sk/sk/casopisy/pediatria-pre-prax/zakladne-principy-anestezie-u-novorodencov>.
Nedomová B. Celková anestézia a neurotoxicita: Aké sú naše súčasné poznatky? Pediatr Prax 2018; 19(4): 165–168.
Krieg AH, Hefti F. Acetabuloplasty – The Dega and Pemberton technique. Orthopäde 2016; 45: 653–658. Dostupné z DOI: <http://dx.doi.org/10.1007/s00132–016–3295–0>.
Vencálková S, Janata J. Evaluation of screening for developmental dysplasia of the hip in the Liberec region in 1984–2005. Acta Chir Orthop Traumatol Cech 2009; 76(3): 218–224. Dostupné z DOI: <http://dx.doi.org/10.55095/achot2009/040>.
Poul L, Bajerová J, Sommernitz M. Early diagnosis of congenital dislocation of the hip. J Bone Joint Surg Br 1992; 74(5): 695–700. Dostupné z DOI: <http://dx.doi.org/10.1302/0301–620X.74B5.1527115>.
Tomas V. Incidence and treatment of inborn dysplasia of the hip joint in the region of Bardejov in the period of 1984–1988. Acta Chir Orthop Traumatol Cech 1989; 56(6). 502–506.
Drimal J. The role of exogenous factors in etiology of congenital hip dislocation: socio-epidemilogical study. Acta Chir Orthop Traumatol Cech 1989; 56(5): 457–464.
Polivka D. Incidence of dysplasia of the hip joint in Czechoslovakia. Acta Chir Orthop Traumatol Cech 1973; 40(6): 507–515.
Rendek P, Bevilaqua J, Janečková P et al. Priebeh nutritívnych ciev hlavy stehennej kosti a jej implikácie v chirurgii bedra. Ladzianskeho anatomický zborník 2021. Univerzita Komenského v Bratislave: Bratislava 2021. ISBN 978–80–223–5302–1.
Labels
Clinical biochemistry Paediatric gynaecology Paediatric radiology Paediatric rheumatology Endocrinology Gynaecology and obstetrics Internal medicine Orthopaedics General practitioner for adults Radiodiagnostics Rehabilitation Rheumatology Traumatology OsteologyArticle was published in
Clinical Osteology
2024 Issue 1-2
Most read in this issue
- System of coordinated care for osteoporotic patients in the Czech Republic
- Acetabuloplasty in therapy of severe dysplasia of the hip: case report
- Falls prevention – identification and intervention of risk factors
- Latest research and news in osteology