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In Vivo Quantification of Hip Arthrokinematics during Dynamic Weight-bearing Activities using Dual Fluoroscopy
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Evaluating the association between pulmonary abnormalities and complications following pediatric hip dysplasia

Jordan Pizzarro1, Theodore Quan2, Joseph E Manzi3

  • 1Department of Orthopaedic Surgery, George Washington University School of Medicine and Health Sciences, 2300 Eye St NW, Washington, DC, 20037, USA.

European Journal of Orthopaedic Surgery & Traumatology : Orthopedie Traumatologie
|May 9, 2022
PubMed

Insights

Pediatric patients with structural airway abnormalities undergoing hip dysplasia surgery face a higher risk of cardiac arrest. Careful preoperative assessment and postoperative monitoring are crucial for this high-risk group.

Area of Science:

  • Pediatric Orthopedics
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Developmental dysplasia of the hip (DDH) is a common pediatric condition.
  • Congenital pulmonary abnormalities can be associated with severe comorbidities in children.

Purpose of the Study:

  • To investigate the impact of structural pulmonary/airway abnormalities on postoperative complications in pediatric patients undergoing surgical treatment for DDH.

Main Methods:

  • Utilized the National Surgical Quality Improvement Program-Pediatric database (2012-2019).
  • Stratified 10,853 pediatric patients into groups with and without structural pulmonary/airway abnormalities.
  • Compared demographics, comorbidities, and postoperative complications using bivariate and multivariate analyses.

Main Results:

  • 6.4% of patients had a structural airway abnormality.
  • Patients with pulmonary abnormalities had an increased risk of cardiac arrest requiring cardiopulmonary resuscitation (OR 2.342; p=0.045) after multivariate adjustment.

Conclusions:

  • Structural pulmonary abnormalities are associated with a significantly higher risk of cardiac arrest post-DDH surgery.
  • Multidisciplinary preoperative evaluation and vigilant postoperative monitoring are essential for managing these vulnerable patients.
Abstract

Keywords:
Airway abnormalityComplicationsHip dysplasiaStructural pulmonary abnormalitySurgical treatment

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