Abstract
Objective: To determine the common age of
presentation, side of presentation and gender wise
distribution, common procedures performed for the
correction of developmental dysplasia of hip in our
population.
Methodology: This cross sectional study was
conducted at department of Orthopedics, Khyber
Teaching Hospital, Peshawar in four years. It included
237 (318 hips) patients by convenient sampling
technique. Data analysis was performed using SPSS
version 20.
Results: Out of 237 patients, 84 (35.4%) had right hip
affected.Mean age at presentation was 38.6 ± 28.9
months. Most patients (n = 76, 32.1%) presented in
second year of their life. Females (n = 176, 74.3%)
were affected more than males (n = 61, 25.7%). Out of
total, 315 hips were managed surgically while three
were treated without surgery. Average hospital stay
was 2.7 ± 1 days. Reasons of late presentation were
absence of screening at time of birth in 229 (95.6%),
abnormal gait noted at time after child started walking
in 213 (90%), no parents education regarding
developmental dysplasia in 233 (98.5%) and
unavailability of expert pediatric orthopedic surgeon at
their locality in 24(10%).
Conclusion: We noted late presentation of the
patients, and reasons were absence of screening, no
symptoms before child start walking, no education of
parents and unavailability of expertise in peripheries,
which usually affect the outcomes of the treatment.
Demographics showed that female gender and right
hip were more affected than male gender and left hip.
Keywords: Hip dislocation, congenital, osteotomy,
open reduction, fracture, closed reduction
