Baseline characteristics and treatment in patients with developmental dysplasia of hip: A single centered experience

Sikandar Hayat; Junaid Zeb; Hamza Zafar; Asnaf Siddique; Mohammad Imran; Muhammad Ayaz Khan

Abstract
Objective: To determine the common age of presentation, side of presentation and gender wise distribution, common procedures performed for the correction of developmental dysplasia of hip in our population.
Methodology: This cross sectional study was conducted at department of Orthopedics, Khyber Teaching Hospital, Peshawar in four years. It included 237 (318 hips) patients by convenient sampling technique. Data analysis was performed using SPSS version 20.
Results: Out of 237 patients, 84 (35.4%) had right hip affected. Mean age at presentation was 38.6±28.9 months. Most patients (n=76, 32.1%) presented in second year of their life. Females (n=176, 74.3%) were affected more than males (n=61, 25.7%). Out of total, 315 hips were managed surgically while three were treated without surgery. Average hospital stay was 2.7±1 days. Reasons of late presentation were absence of screening at time of birth in 229(95.6 %), abnormal gait noted at time after child started walking in 213(90%), no parents education regarding developmental dysplasia in 233(98.5%) and unavailability of expert pediatric orthopedic surgeon at their locality in 24(10%).
Conclusion: We noted late presentation of the patients, and reasons were absence of screening, no symptoms before child start walking, no education of parents and unavailability of expertise in peripheries, which usually affect the outcomes of the treatment. Demographics showed that female gender and right hip were more affected than male gender and left hip.

Key words: Developmental dysplasia of hip, osteotomy, open reduction, closed reduction, Pavlik Harness.

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