PMC7321781_01
Pelvis AP x-ray showing bilateral hips dislocated DDH at age of 2 years, Right Tonnis 3, left Tonnis 4.
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Anti-Inflammatory, systemic steroid, and Methotrexate medications. At that time, she had IHDI grade 4, bilateral dislocated developmental dysplasia of the hip (Fig. 1).
Pelvis AP x-ray at age of 2 1/2 years after Right hip open reduction, adductor tenotomy, pelvis osteotomy, femoral shortening and hip Spica.
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Initially, she underwent right hip open reduction, adductor tenotomy, and pelvic osteotomy with bone allograft, femoral shortening osteotomy and plate fixation, and spica cast application for 6 weeks then 4 weeks of broomstick cast for 4 weeks utilizing the technique of Wade et al. (Fig. 2).
Pelvis AP x-ray at age of 3 years after bilateral hips open reduction, adductor tenotomy, pelvis osteotomy, femoral shortening and hip Spica, Right hip 12 months post- operatively, left hip 6 months post-operatively.
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Seven months later, she had the left hip joint similarly reduced (Fig. 3).
Pelvis AP x-ray at age of 7 years after removal of femur implants.
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She is free of any joints pain and deformity, has full range of motion and normal gait (Fig. 4).