Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description

Authors

DOI:

https://doi.org/10.31053/1853.0605.v78.n3.31719

Keywords:

hip dislocation, congenital, delayed diagnosis, hip injuries

Abstract

Developmental hip dysplasia (DHD) is a common entity that affects 4 out of every 1000 live births and is a recognized cause of secondary hip osteoarthritis despite routine perinatal controls.

In most patients, the early diagnosis of the pathology allows an evolution without sequelae. However, in the basis that patients diagnosed late and with multiple surgeries are patients with open physis, ossification nuclei present and previous surgeries in the approach area, the late diagnosis represents a real challenge for the orthopedist.

We report below the case of a patient treated in our center since birth, who evolved with complications associated with late diagnosis and surgical interventions, describing rescue surgery performed at 12 years of age and finally highlighting the importance of routine perinatals  and early diagnosis of DHD.

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Author Biographies

  • Agustin Maria Garcia Mansilla, Hospital Italiano de Buenos Aires, Buenos Aires. Ciudad autonoma de Buenos Aires, Argentina

    Residente de 5to año en Ortopedia y Traumatología, Hospital Italiano de Buenos Aires.

     

  • Fernando Diaz Dilerna, Hospital Italiano de Buenos Aires, Sector de cirugía reconstructiva de cadera , Centro Sir John Charnley , Buenos Aires Argentina

    Médico especialista en Ortopedia y Traumatología - Hospital Italiano de Buenos Aires

    Especialista en Cirugía de la Cadera - Hospital Italiano de Buenos Aires

    Médico Asociado de Sector de Cirugía de la Cadera del Hospital Italiano de Buenos Aires

     

  • surya victoria kohan fortuna figueira, Hospital Italiano de Buenos Aires, Buenos Aires, Ciudad autonoma de Buenos Aires, Argentina

    Residente de 3er año en Ortopedia y Traumatología, 

    Hospital Italiano de Buenos Aires

    +54 9- 362-4851492

  • Santiago Bosio, Hospital Italiano de Buenos Aires, Sector Ortopedia Pediatrica , Buenos Aires Argentina

    Médico especialista en Ortopedia y Traumatología - Hospital Italiano de Buenos Aires

    Especialista en Ortopedia Infantil - Hospital Italiano de Buenos Aires

    Especialista en Cirugía de la Columna y Cadera Pediátrica

    Médico de Planta de Sector de Ortopedia Infantil del Hospital Italiano

     

    +54 9- 11- 50096881

    santiago.bosio@hospitalitaliano.org.ar

     

    Publicaciones:

     

    • [Isolated irreducible anterior radial head dislocation in a child: a rare case report]. Sánchez Saba JE, Abrego MO, Bosio ST, Puigdevall M, Maenza R. Arch Argent Pediatr. 2018 Aug 1;116(4):e630-e634. doi: 10.5546/aap.2018.e630.

     

    • Craniocervical spinal instability after type 1 Arnold Chiari decompression: a case report. Camino Willhuber GO, Bosio ST, Puigdevall MH, Halliburton C, Sola CA, Maenza RA. J Pediatr Orthop B. 2017 Jan;26(1):80-85. doi: 10.1097/BPB.0000000000000346.

     

    • Massive Osteochondral Lesion of the Talus in a Skeletally Immature Patient Associated With a Tarsal Coalition and Valgus Hindfoot. Slullitel PAI, Tripodi ML, Bosio ST, Puigdevall M, Maenza R. J Foot Ankle Surg. 2017 Nov-Dec;56(6):1257-1262. doi: 10.1053/j.jfas.2017.04.025. Epub 2017 May 27.

     

    • Langerhans cell histiocytosis of the atlas in the pediatric spine: total reconstitution of the bone lesion after nonoperative treatment. A report of two cases. Puigdevall M, Bosio S, Hokama J, Maenza R. J Bone Joint Surg Am. 2008 Sep;90(9):1994-7. doi: 10.2106/JBJS.G.01352.
  • Gerardo Zanotti, Hospital Italiano de Buenos Aires, Sector de cirugía reconstructiva de cadera , Centro Sir John Charnley , Buenos Aires Argentina

    Médico especialista en Ortopedia y Traumatología - Hospital Churruca

    Especialista en Cirugía Compleja de la Cadera - Hospital Italiano de Buenos Aires

    Médico Asociado Sector de Cadera de Hospital Italiano de Buenos Aires

     

    +54 9- 11- 68779095

    gerardo.zanotti@hospitalitaliano.org.ar

    • Three cases of type-1 complex regional pain syndrome after elective total hip replacement. Zanotti G, Slullitel PA, Comba FM, Buttaro MA, Piccaluga F. SICOT J. 2017;3:52. doi: 10.1051/sicotj/2017038. Epub 2017 Sep 5.

     

    • THA conversion rate comparing decompression alone, with autologous bone graft or stem cells in osteonecrosis. Nally FJ, Zanotti G, Buttaro MA, Diaz Dilernia F, Mansilla IG, Comba FM, Piccaluga F. Hip Int. 2018 Mar;28(2):189-193. doi: 10.5301/hipint.5000552. Epub 2017 Sep 10

     

    • State-of-the-art diagnosis and surgical treatment of acute peri-prosthetic joint infection following primary total hip arthroplasty. Slullitel PA, Oñativia JI, Buttaro MA, Sánchez ML, Comba F, Zanotti G, Piccaluga F. EFORT Open Rev. 2018 Jul 17;3(7):434-441. doi: 10.1302/2058-5241.3.170032. eCollection 2018 Jul.

     

    • Hip arthroscopy in osteoarthritis: a systematic review of the literature. Piuzzi NS, Slullitel PA, Bertona A, Oñativia JI, Albergo I, Zanotti G, Buttaro MA, Piccaluga F, Comba FM. Hip Int. 2016 Jan-Feb;26(1):8-14. doi: 10.5301/hipint.5000299. Epub 2015 Sep 14.

     

    • Re-admissions treble the risk of late mortality after primary total hip arthroplasty. Slullitel PA, Estefan M, Ramírez-Serrudo WM, Comba FM, Zanotti G, Piccaluga F, Buttaro MA. Int Orthop. 2018 Sep;42(9):2015-2023. doi: 10.1007/s00264-018-3876-0. Epub 2018 Mar 10.
  • Carolina Halliburton, Hospital Italiano de Buenos Aires, Sector Ortopedia Pediatrica , Buenos Aires Argentina

    Medica especialista en Ortopedia y Traumatología - Hospital Italiano de Buenos Aires

    Especialista en Ortopedia Infantil - Hospital Italiano de Buenos Aires

    Médico de Asociado del Sector de Ortopedia Infantil del Hospital Italiano

     

    +54 9- 11- 40600796

    carolina.halliburton@hospitalitaliano.org.ar

     

    Publicaciones:

     

    • Craniocervical spinal instability after type 1 Arnold Chiari decompression: a case report. Camino Willhuber GO, Bosio ST, Puigdevall MH, Halliburton C, Sola CA, Maenza RA. J Pediatr Orthop B. 2017 Jan;26(1):80-85. doi: 10.1097/BPB.0000000000000346.

     

    • Fasciitis and Streptococcal Toxic-shock Syndrome: The Importance of Early Diagnosis and Surgical Management. Abrego MO, Saba JES, Halliburton C, Taype DRE, Sancineto CF. J Orthop Case Rep. 2018 Sep-Oct;8(5):57-60. doi: 10.13107/jocr.2250-0685.1212.
  • Miguel Puigdevall, Hospital Italiano de Buenos Aires, Sector Ortopedia Pediatrica , Buenos Aires Argentina

    Médico especialista en Ortopedia y Traumatología - Hospital Italiano de Buenos Aires

    Especialista en Ortopedia Infantil - Hospital Italiano de Buenos Aires

    Especialista en Cirugía de la Columna y Cadera Pediatrica

    Médico de Planta de Sector de Ortopedia Infantil del Hospital Italiano

     

    +54 9- 11- 50015736

    miguel.puigdevall@hospitalitaliano.org.ar

     

    Publicaciones:

     

    • [Isolated irreducible anterior radial head dislocation in a child: a rare case report]. Sánchez Saba JE, Abrego MO, Bosio ST, Puigdevall M, Maenza R. Arch Argent Pediatr. 2018 Aug 1;116(4):e630-e634. doi: 10.5546/aap.2018.e630.

     

    • Craniocervical spinal instability after type 1 Arnold Chiari decompression: a case report. Camino Willhuber GO, Bosio ST, Puigdevall MH, Halliburton C, Sola CA, Maenza RA. J Pediatr Orthop B. 2017 Jan;26(1):80-85. doi: 10.1097/BPB.0000000000000346.

     

    • Massive Osteochondral Lesion of the Talus in a Skeletally Immature Patient Associated With a Tarsal Coalition and Valgus Hindfoot. Slullitel PAI, Tripodi ML, Bosio ST, Puigdevall M, Maenza R. J Foot Ankle Surg. 2017 Nov-Dec;56(6):1257-1262. doi: 10.1053/j.jfas.2017.04.025. Epub 2017 May 27.

     

    • Langerhans cell histiocytosis of the atlas in the pediatric spine: total reconstitution of the bone lesion after nonoperative treatment. A report of two cases. Puigdevall M, Bosio S, Hokama J, Maenza R. J Bone Joint Surg Am. 2008 Sep;90(9):1994-7. doi: 10.2106/JBJS.G.01352.

References

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Published

2021-09-29

Issue

Section

Case Report

How to Cite

1.
Garcia Mansilla AM, Diaz Dilerna F, kohan fortuna figueira surya victoria, Bosio S, Zanotti G, Halliburton C, et al. Sequelae of late diagnosis and treatment of developmental dysplasia of the hip: case report and surgical technique description. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 2021 Sep. 29 [cited 2024 Dec. 22];78(3):326-9. Available from: https://revistas.unc.edu.ar/index.php/med/article/view/31719

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