One-stage surgical outcomes for bilateral developmental dysplasia of the hip in walking children: a retrospective case series study from the post-war era in a tertiary care hospital at Kabul, Afghanistan
Emad, Sayed Behroz, Shekaib R Siraj, Salahuddin Mohammad, Mirza Ali, Hussain Hussain, Rahim
Emad, Sayed
Behroz, Shekaib R
Siraj, Salahuddin
Mohammad, Mirza
Ali, Hussain
Hussain, Rahim
Abstract
Purpose Bilateral surgery for developmental dysplasia of the hip in a single stage represents a significant surgical challenge. The present study, therefore, aimed to evaluate the clinical and radiographic outcomes of one-stage surgical management of bilateral developmental dysplasia of the hip in children after the onset of independent walking. Materials and methods This retrospective case series was conducted between 2020 and 2024 at the French Medical Institute for Mothers and Children in Kabul, Afghanistan. The study included 36 patients with a mean age of 32 months (range: 18-54 months), all diagnosed with bilateral developmental dysplasia of the hip, accounting for a total of 72 affected hips. Postoperative functional outcomes were assessed using the modified McKay's scoring system, while radiographic evaluation was performed by measuring the acetabular index. The mean follow-up duration was 9.6 months. Results In this study, functional outcomes assessed by the modified McKay's criteria demonstrated excellent results in 26 cases (72%), good results in six cases (16.7%), fair results in three cases (8.3%), and poor results in one case (3%). The mean reduction in the acetabular index between preoperative and postoperative evaluations was 13.78±3.5° for the right hips and 17.29±5° for the left hips. With respect to postoperative complications, the majority of hips (60, 83.3%) showed no adverse effects; however, subluxation occurred in three hips (4.2%), avascular necrosis of the femoral head in four hips (5.5%), and acetabular dysplasia in five hips (7%). Conclusion A one-stage open reduction combined with Salter's osteotomy, with femoral shortening when indicated, is recommended as an effective management strategy for bilateral developmental dysplasia of the hip in children aged 1.5-4.5 years.
MIDER Authors
Date
2025-12-18
Type
Article
Subject
Bone Diseases, Developmental, Hip Joint, Femur, Osteotomy, Paediatrics
Collections
Citation
Emad S, Behroz SR, Siraj S, Mohammad M, Ali H, Hussain R. One-Stage Surgical Outcomes for Bilateral Developmental Dysplasia of the Hip in Walking Children: A Retrospective Case Series Study From the Post-war Era in a Tertiary Care Hospital at Kabul, Afghanistan. Cureus. 2025 Dec 18;17(12):e99520. doi: 10.7759/cureus.99520.
Journal / Source Title
Cureus
DOI
10.7759/cureus.99520
PMID
41556003
Publisher
Springer
Publisher’s URL
https://pmc.ncbi.nlm.nih.gov/articles/PMC12812409/
Publisher’s statement
© Copyright 2025 Emad et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.