FOLLOW UP STUDY FOR THREE YEARS OF CONGENITAL HIP DISLOCATION BY ONE STAGE SURGERY IN 3-5 YEARS OF CHILDREN

Objective: To evaluate the results of a combined single-stage procedure for congenital hip dislocation in a 3 to 5 year group. Study Design: A Descriptive study Place and Duration: The Study was performed in the Orthopedic Department Unit I of Bahawal Victoria Hospital, Bahawalpur for the period of three years from January 2014 to January 2017. Materials and Method: Twenty-five patients with 30 hips operated by congenital hip dislocation. The procedure was arthrotomy, shortening of femoral bone, derotational varus osteotomy and capsulorraphy. Pelvic osteotomy was performed when needed. Preoperative and postoperative clinical and radiological evaluation was performed according to modified criteria of McKay and Severin. Patients were followed for three years. Findings: There were 17 girls and eight boys in this study. The average age is 3, at least 3 and at most 5 years. There were bilateral dislocations in five cases. The final follow-up was classified as hip III (31.0%), 1 hip (4%), 11 hip (12.0%) hip and 3 hip (12.0%). In 3 patients (12%), the case was classified as I (4%) I and III according to the time of the femur head and MacEwen Kalamchi avascular necrosis (AVN). Functional assessment was made according to modified McKay criteria. According to this approach, the final follow-up was 15 (60%) good and 6 (24%) excellent and 4 (16.0%) fair. Conclusion: A phase correction of hip congenital outflow in an old child is a reliable and effective treatment with good results in short and medium term. Key words: Dislocation, Hip Dysplasia, Development.