Combined Dega and shelf-osteotomy for treatment of neglected DDH

Introduction The goal of the combined Dega and shelf-osteotomy technique is to restore and maintain proper reduction of the hip joint and to prevent dislocation, which in turn negates the need for a second-stage operation in the management of neglected DDH. This approach aims to address the complexities associated with treating these challenging cases. Material and methods A prospective cohort study was conducted on 14 cases with 15 neglected or late-diagnosed dislocated hip. 9 cases were females, and 5 cases were males. Age ranged from 4 to 9 years with a mean age of 6 years. The clinical data of the patients using McKay’s clinical criteria with carefully detailed history are taken. Complete lower limb examination for hip dislocation, hip range, pain, and limping are performed. Results This study was conducted on a total of 14 children with 15 DDH-affected hips. There were 9 females (78.75%) and 5 males (21.24%). Children with left-sided DDH were 10 (66.6%), right-sided 5 (33.3%) and bilateral DDH was 1 (6.6%). The age ranged from 4-9 years with a mean of 6.13 ± 1.77. Using McKay’s clinical criteria, twelve cases had Excellent results, two cases had Good and one case had Poor results, according to the modified Severin radiological classification; twelve cases were rated as Excellent, two as Good, and one case as Poor. Conclusion The combined Dega and shelf osteotomy technique has demonstrated efficacy as a reliable surgical treatment option for complex cases of neglected DDH, offering satisfactory results.