ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2025
Single-Stage Triple Procedure Bilateral Hip Open Reduction, Acetabuloplasty, and Femoral Shortening for Late Diagnosed Patients With Developmental Dysplasia of the Hip.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDevelopmental dysplasia of the hip is a challenging pediatric condition requiring timely and effective surgical management. This study evaluates the clinical and radiographic outcomes of a simultaneous bilateral single-stage triple procedure, which integrates open reduction, acetabuloplasty, and femoral shortening osteotomy. This approach offers a potential alternative to standard staged procedures by reducing treatment time and cumulative anesthesia exposure.
methodsThis retrospective study included 54 patients who underwent a standardized simultaneous bilateral single-stage procedure at two tertiary centers. The average age at the time of surgery is 3 ± 1.5 years. Clinical and radiographic outcomes were assessed, with follow-up extending to an average of 3 years. RESULTS AND
conclusionIn our study of 54 patients (108 hips), significant improvements were noted after surgery with a mean reduction in the acetabular index of 27° ± 7° for the right hip and 26° ± 6° for the left hip (P = 0.0001). The Severin classification indicated 83% excellent, 13% good, and 4% poor outcomes. Redislocation occurred in 6% of hips, with no significant differences in osteonecrosis, lateral subluxation, or redislocation based on sex or age (P > 0.05). All patients achieved good-to-full range of motion by the final follow-up.
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