Frequency And Complications Of Developmental Dysplasia Of The Hip Procedure Related To Age In Children

Abstract

Acetabular dysplasia to total dislocation are among the conditions that fall under the umbrella of developmental dysplasia of the hip (DDH). Treatment outcomes are significantly influenced by the age at diagnosis and intervention, which also affects the risk of complications and the decision between non-surgical and surgical treatments.

To ascertain the prevalence of both non-surgical and surgical treatments for DDH in various pediatric age groups and to examine the consequences of postponing intervention at Khyber Teaching Hospital, a cross-sectional study including 80 children ranging in age from birth to eight years was carried out. Structured questionnaires were used to gather data, and SPSS was used for analysis. Age at diagnosis, kind of intervention, frequency of surgical versus non-surgical therapy, laterality, and complications were among the variables evaluated. 70% of the patients were female, and the majority (58.8%) were between the ages of one to two years. Routine screening identified 96.3% of cases, and (97.5%)diagnosis were made after 6 months of age. In 98.8% of instances, surgical therapy was necessary, most often open reduction (83.8%), whereas non-surgical management was used only 3.8% of the time. In 85% of instances, an osteotomy was done during the initial procedure. The most frequent involvement was bilateral (46.3%). 12.5% of cases had complications, and more complicated surgical procedures were significantly correlated with delayed diagnosis (p<0.05). This study highlights that delayed detection significantly increases surgical complexity, emphasizing the urgent need for systematic newborn screening and parental awareness to improve long-term outcomes.