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Staged hip replacement for neglected bilateral Crowe's Grade 4 dysplasia
1Department of Orthopedic, College of Medicine, King Khalid University, Abha, Kingdom of Saudi Arabia.
Insights
Developmental dysplastic hip (DDH) is more common in females in Saudi Arabia. Early screening and treatment are crucial to prevent late-onset osteoarthritis and the need for complex hip replacement surgery.
Area of Science:
- Orthopedics
- Pediatric Orthopedics
- Public Health
Background:
- Developmental dysplastic hip (DDH) diagnosis is linked to consanguinity, breech presentation, and family history in Saudi Arabia.
- DDH prevalence is higher in females (10.46 per 1000 live births) than males in Saudi Arabia.
- Bilateral high hip dislocation often presents late with degenerative osteoarthritis due to subtle early symptoms.
Observation:
- This report details a 54-year-old female with bilateral high dislocated dysplastic hip joints.
- The patient underwent a staged bilateral total hip replacement.
- The procedure resulted in stable and painless hip joints.
Findings:
- Successful staged bilateral total hip replacement can effectively treat late-presenting DDH.
- Surgical success depends on skilled personnel, appropriate equipment, and an experienced team.
- Early diagnosis through screening is vital for timely intervention.
Implications:
- Highlights the importance of early screening for developmental dysplastic hip.
- Emphasizes the need for timely treatment to prevent severe degenerative joint disease.
- Underscores the successful management of complex cases through surgical intervention.
Abstract:
Factors such as consanguinity, breech presentation, and family history have been attributed to the diagnosis of developmental dysplastic hip (DDH) in Saudi Arabia. The prevalence of DDH in Saudi Arabia is higher in females than in males, with 10.46 cases per 1000 live births. Cases with bilateral high hip dislocation rarely cause early symptoms and can easily be neglected; therefore, these cases present later in life with degenerative osteoarthritis requiring a challenging hip replacement. This report presents the case of a 54-year-old female with bilateral high dislocated dysplastic hip joints. A successful staged bilateral total hip replacement resulted in painless and stable hip joints. The surgery was conducted successfully by ensuring the availability of personnel with the necessary skills, equipment, and an experienced treatment team. Therefore, the results stress the need to utilize screening tests for the early diagnosis and treatment of developmental dysplastic hip.
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