Effectiveness of Plates and Screws as an Alternative to Reinforcement Rings in Dysplasia of the Hip: A Case Report

Background: Developmental dysplasia of the hip (DDH) is a disorder of hip joint development that can lead to instability, pain, and functional limitations. Surgical intervention is often necessary; however, conventional methods such as reinforcement rings and major osteotomies may be difficult to implement in resource-limited facilities. Case Report: The report is on a patient with complaints of intermittent hip pain for four years, which had progressively worsened and resulted in a limping gait. The history indicated that these symptoms began when the patient started walking, with limb length discrepancy causing frequent falls and fractures. Various therapies, including surgery, had been attempted, yet the hip pain had not been fully alleviated. Discussion: We utilized a modified technique using plates and screws for the reconstruction of the acetabular roof, which successfully stabilized the acetabular cup. Evaluation using the Harris Hip Score indicated a result of 85, nearly equivalent to the use of a reinforcement ring. This technique proved to be safe and effective, enhancing mobility, reducing pain, and improving quality of life without invasive procedures. Conclusion: The modified technique provides stability for patients with DDH, making it an economical alternative with satisfactory clinical outcomes.