THE IMPACT OF SINGLE-SURGEON COMPARED TO DUAL-SURGEON APPROACH ON THE REDISLOCATION RATE FOLLOWING OPEN REDUCTION IN DEVELOPMENTAL DYSPLASIA OF THE HIP IN CHILDREN

Segura, Magda; Cox, Daniel; Horner, Matthew; Clarke, Michael; Kiely, Nigel; Freeman, Robert; Williams, Derfel

Abstract

IntroductionDevelopmental dysplasia of the hip (DDH) can be managed through a variety of different surgical approaches from closed reduction to simple tenotomies of the adductors and through to osteotomies of the femur and pelvis. The rate of redislocation following open reduction for the treatment of DDH may be affected by the number of intraoperative surgeons.Materials and methodsWe performed a retrospective cohort analysis of 109 patients who underwent open reduction with or without bony osteotomies as a primary intervention between 2013 and 2023. We measured the number of redislocations and number of operating surgeons (either 1 or 2 operating surgeons) to assess for any correlation. 109 patients were identified and corresponded to 121 primary hip operations, the mean age at operation was 82.2 months (range 6 to 739 months). During the 10-year period 7 hip redislocations were identified.ResultsOf the 7 redislocated hips, the rate of redislocation was found to be higher in patients who had undergone surgery via a single surgeon (5 redislocations) compared to the dual surgeon cohort (2 redislocations), though this did not reach statistical significance. Redislocation was more common in female patients and right laterality 7.2% and 8.7% respectively, though this again did not reach statistical significance.ConclusionsWe conclude that a single surgeon approach, female gender and right laterality are potential risk factors for redislocation following open reduction. Further investigation utilising a larger sample size would be required to appropriately explore these potential risk factors further.

Citation

Segura, M., Cox, D., Horner, M., Clarke, M., Kiely, N., Freeman, R., & Williams, D. (2025, March). THE IMPACT OF SINGLE-SURGEON COMPARED TO DUAL-SURGEON APPROACH ON THE REDISLOCATION RATE FOLLOWING OPEN REDUCTION IN DEVELOPMENTAL DYSPLASIA OF THE HIP IN CHILDREN. Presented at The British Society for Children's Orthopaedic Surgery (BSCOS) 2025 Meeting, Brighton, England

• Presentation Conference Type: Conference Abstract
• Conference Name: The British Society for Children's Orthopaedic Surgery (BSCOS) 2025 Meeting
• Start Date: Mar 13, 2025
• End Date: Mar 14, 2025
• Acceptance Date: Apr 11, 2025
• Online Publication Date: Apr 11, 2025
• Publication Date: Apr 11, 2025
• Deposit Date: Apr 29, 2025
• Journal: Orthopaedic Proceedings
• Print ISSN: 2049-4416
• Publisher: Bone & Joint
• Peer Reviewed: Peer Reviewed
• Volume: 107-B
• Issue: SUPP_3
• Pages: 29-29
• DOI: https://doi.org/10.1302/1358-992x.2025.3.029
• Public URL: https://keele-repository.worktribe.com/output/1201234
• Publisher URL: https://boneandjoint.org.uk/Article/10.1302/1358-992X.2025.3.029