Manejo quirúrgico de la cadera perdida mediante osteotomía de soporte pélvico

Abstract

Lost hip is defined as any anatomical or functional sequelae resulting from a disease pr trauma that affects the hip joint at any stage of development. This pathology affects children between the ages of 3 and 13, with a peak frequency between the  ages of 6 and 8, secondary to changes in the femoral epiphyseal vascularization. The situation most frequently associated with this pathology is developmental dysplasia of the hip. Developmental dysplasia of the hip causes anatomical changes that lead to coxarthrosis or early hip instability. The clinical picture is characterized by disabling hip pain, shortening of the compromised lower limb, and hip instability. Diagnosis is both clinical and radiographic. A successful therapeutic alternative is pelvis-support,
which constitutes a double level femoral osteotomy with the aim of improving the quality of life of patients and their disability. We present the case of an 11-year-old patient, diagnosed with loss hip, with a grade 3 disability according to the Red Cross disability scale, in whose assessment surgical resolution was chosen as treatment. A pelvis-support procedure was performed, which is an adequate technique to improve stability, alignment and correct the length discrepancy of the lower limbs, obtaining favorable results.