The Dega osteotomy: a versatile osteotomy in the treatment of developmental and neuromuscular hip pathology

Journal of Pediatric Orthopedics
Judson W KarlenRobert M Kay

Abstract

The purpose of this study is to evaluate the use of the Dega osteotomy in the treatment of hip pathology resulting from both developmental dysplasia (DDH) and neuromuscular disease (NM). We retrospectively reviewed the results of one surgeon's operative experience with the Dega osteotomy for the treatment of DDH and NM. Forty-four patients (50 hips) with an average length of follow-up of 53 months were identified. The Dega was customized at the time of surgery to provide more anterior or posterior coverage depending on the needs of the individual hip. In all cases, there were no intraoperative complications and all hips were well reduced postoperatively. In the DDH group, there were 22 children (26 hips), who underwent surgery at a mean age of 3.1 years. Thirteen hips had a concomitant open reduction and 4 had a femoral osteotomy. There were 5 complications: 2 femoral head lateralizations, 2 avascular necroses (asymptomatic), and 1 traumatic dislocation. One patient (1 hip) had a reoperation. All patients had unlimited physical activity with no limp with an improvement in the acetabular index from 37 degrees preoperatively to 13 degrees at last follow-up. In the NM group, there were 22 children (24 hips), who underwent surgery ...Continue Reading

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Citations

Jul 1, 2014·The Orthopedic Clinics of North America·Anthony Philip CooperKishore Mulpuri
Jul 1, 2014·The Orthopedic Clinics of North America·Gilbert Chan, Freeman Miller
Sep 6, 2013·Operative Orthopädie und Traumatologie·K Mladenov, U von Deimling
Sep 1, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Ugur GunelKenan Bayrakci
Oct 30, 2014·Journal of Children's Orthopaedics·I H FeeleyD P Moore
Oct 12, 2015·International Orthopaedics·Frank BraatzStefan Lakemeier
Feb 27, 2014·International Journal of Surgery Case Reports·Turgut AkgülIlker Eren
Aug 11, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Robert F Murphy, Young-Jo Kim
Aug 30, 2018·Journal of Children's Orthopaedics·J CzubakM Kwiatkowska
Mar 1, 2012·Journal of Pediatric Orthopedics. Part B·Peter D Gallacher, Andrew P Roberts
Jan 2, 2013·Journal of Pediatric Orthopedics. Part B·Cemalettin AksoyOmur Caglar
Apr 29, 2014·Journal of Pediatric Orthopedics. Part B·Turgut AkgülOnder Murat Hürmeydan
Jul 18, 2020·Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy·Sophie R MerckaertJolles Brigitte
Jan 14, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Federico CanaveseGeraldo de Coulon
Oct 18, 2018·BMC Musculoskeletal Disorders·Ki Hyuk SungMoon Seok Park

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