Developmental dysplasia of the hip - operative management and follow up
Presentation
Left sided hip pain and limp after walking. Late to walk.
Patient Data
Dysplastic left hip with shallow acetabulum, small femoral head and dislocated hip.
Left femoral osteotomy. Healing at osteotomy site. Some improvement in acetabular morphology.
4 years old
Enlarged femoral head and metaphysis (coxa magna). Further improvement in acetabular appearances. Femoral head is well covered.
7 years old
Left femoral epiphysis remains larger than the right. Further improvement in appearances of the left acetabulum and good coverage.
Case Discussion
This series of films highlights how acetabular morphology can change once the femoral head is in an appropriate position.