COMPARATIVE GAIT ANALYSIS: GAIT PARAMETERS IN PRE- AND POST-OPERATIVE DEVELOPMENTAL DYSPLASIA OF THE HIP
DOI:
https://doi.org/10.33279/jkcd.v14i2.693Keywords:
Dysplastic hip, Gait analysis, Range of motionAbstract
Objectives:
To compare the pre-and post-operative gait patterns in developmental dysplasia of the hip (DDH) undergoing corrective surgery.
Materials and Methods: This prospective observational study was conducted at the Department of Anatomy in collaboration with the Department of Orthopedic and Traumatology, Khyber Teaching Hospital Peshawar, and Pakistan Institute of Prosthetics and Orthotics (PIPOS) laboratory, Hayatabad Peshawar from March 2018 to March 2019. Patients were examined clinically and radiologically, and pre-operative gait analyses were done. Three months postoperatively, the second gait analysis was repeated. Data was analyzed through SPSS-23 using one-way ANOVA.
Results:
The mean age of study participants was 6 years.Clinically all patients were positive for trendelendberg test, limping of lower limb and lower limb discrepancy.Radiologically there was no significant correlation between age and Tonnis(Chi square test). The range of motion for each joint; hip, ankle and knee was calculated for deviation from standard of 50,30 and 70 degree for
each joint respectively. The results were tabulated as fl exion and dorsifl exion (+), extension and
plantar flexion (-) from the standard. Post-operatively the hip joint showed hyperextension deviation24.83 ± 6.84 while the knee joint and ankle joints demonstrated fl exion/plantardeviation
of 5.85 ± 68.57and22.89 ± 42.52 respectively. In this study, there is negative correlation between
gate parameters and range of motion (p-value=0.003).
Conclusion:
In the pre and post operative comparison in gate parameters there were three parameters post trunk,post valgus/varus and post stance are signifi cant P value is less than 0.05.
References
Huayamave V, Rose C, Serra S, Jones B, … EDJ of, 2015 undefined. A patient-specifi c model of the biomechanics of hip reduction for neonatal Developmental Dysplasia of the Hip: Investigation of strategies for low to severe grades of. Elsevier [Internet]. [cited 2023 Dec 27]; Available from: https://www.sciencedirect.com/science/article/pii/S0021929015002031
Pollet V, Percy V, Prior HJ. Relative Risk and Incidence for Developmental Dysplasia of the Hip. J Pediatr. 2017 Feb 1;181:202–7.
Junaid Zeb 1Sikandar Hayat, 2Imran Afzal, 3Sheikh Naeem U Haq, 4Muhammad Shoaib, 5 Marawa Zeb, Shehla Khatoon. Frequency of Risk factors for Developmental Dyslasia of Hip (DDH) in patients presenting to a Tertiary Care Hospital. J o Pak Ortho Assoc. 2022;163–5.
Noordin S, Umer M, Hafeez K, reviews HNO, 2010 undefined. Developmental dysplasia of the hip. ncbi.nlm.nih.govS Noordin, M Umer, K Hafeez, H NawazOrthopedic reviews, 2010•ncbi.nlm.nih.gov [Internet].[cited 2023 Dec 27]; Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143976/
Abu Hassan FO, Shannak A. Associated risk factors in children who had late presentation of developmental dysplasia of the hip. J Child Orthop. 2007;1(3):205–10.
Narayanan U, Mulpuri K, … WSJ of P, 2015 undefi ned. Reliability of a new radiographic classification for developmental dysplasia of the hip. journals. lww.com [Internet]. [cited 2023 Dec 27]; Available from: https://journals.lww.com/pedorthopaedics/Fulltext/2015/07000/Reliability_of_a_New_ Radiographic_Classifi cation.10.aspx.
Ibrahim MM, Smit K. Anatomical description and classification of hip dysplasia. Hip Dysplasia: Understanding and Treating Instability of the Native Hip [Internet]. 2020 Jan 1 [cited 2023 Dec 30];23–37. Available from: https://link.springer.com/chapter/10.1007/978-3-030-33358-4_3
Salman M, Hayat S, Saqib M. Short term results of Anterolateral approach for open reduction of neglected Developmental Dysplasia of Hip (DDH).
Saqib M, Salman M, Hayat S, Khan MA, Ullah S. Developmental dysplasia of the hip in older children; prospects of functional and radiological outcome following a single stage triple procedure. Journal of ayub medical college. 2019;31(3).
Kuo A, therapy JDP, 2010 undefi ned. Dynamic principles of gait and their clinical implications. academic.oup.comAD Kuo, JM DonelanPhysical therapy,2010•academic.oup.com [Internet]. 2010 [cited 2023 Dec 27];90(2):157. Available from: https://academic.oup.com/ptj/article-abstract/90/2/157/2737752.
Xu C, Wen X, Wei W, Huang L, Wang J, … YYIJCE, et al. Gait parameters associated with untreated developmental dysplasia of the hip: a systematic review.e-century.usC Xu, X Wen, W Wei, L Huang, J Wang,Y Yan, W LeiInt J Clin Exp Med, 2017•e-century.us [Internet]. 2017 [cited 2023 Dec 27];10(9):13037–47. Available from: https://e-century.us/fi les/ijcem/10/9/ijcem0059469.pdf
Jacobsen JS, Nielsen DB, Sorensen H, Soballe K, Mechlenburg I. Changes in walking and running in patients with hip dysplasia. Acta Orthop. 2013;84(3):265–70.
Liu R, Wen X, Tong Z, Wang K, Wang C. Changes of gluteus medius muscle in the adult patients with unilateral developmental dysplasia of the hip. BMC Musculoskelet Disord. 2012;13.
Umer M, Nawaz H, Murtaza Kasi P, Ahmed M. Outcome of triple procedure in older children with developmental dysplasia of hip (DDH) [Internet]. 2007. Available from: http://ecommons.aku.edu/pakistan_fhs_mc_surg_surg
Byrne D, Mulhall K, Journal JB open sports medicine, 2010 undefi ned. Anatomy & biomechanics of the hip. benthamopen.comDP Byrne, KJ Mulhall, JF BakerThe open sports medicine Journal, 2010•benthamopen.com [Internet]. 2010 [cited 2023 Dec 27];4:51–7. Available from: https://benthamopen.com/ABSTRACT/TOSMJ-4-51
Chang L, Su F, … KLJ of M, 2005 undefi ned. Gait analysis after shoe lifts in adults with unilateral developmental dysplasia of the hip. researchoutput.ncku.edu.twLT Chang, F Su, KA Lai, KH TsaiJournal of Medical and Biological Engineering, 2005•researchoutput.ncku.edu.tw [Internet]. [cited 2023 Dec 27]; Available from: https://researchoutput.ncku.edu.tw/en/publications/gait-analysis-after-shoe-lifts-in-adults-with-unilateraldevelopment.
Pediatrics AAo. Committee on Quality Improvement,... - Google Scholar [Internet]. [cited 2023 Dec 27]. Available from: https://scholar.google.com/scholarhl=en&as_sdt=0%2C5&q=Pediatrics+AAo.+Committee+on+Quality+Improvement%2C+Subcommittee+on+Developmental+Dysplasia+of+the+Hip.+Clinical+practice+guideline%3A+early+detection+of+developmental+dysplasia+of+the+hip.+Pediatrics.+2000%3B+105%3A+896-905.&btnG=
Marangoz S, Atilla B, Gök H, … GYH, 2010 undefined. Gait analysis in adults with severe hip dysplasia before and after total hip arthroplasty. journals.sagepub.comSMarangoz, B Atilla, H Gök, G Yavuzer, S Ergin, AM Tokgözoğlu, M AlpaslanHip International, 2010•journals.sagepub.com [Internet]. 2010 [cited 2023 Dec27];20(4):466–72. Available from: https://journals.
sagepub.com/doi/abs/10.1177/112070001002000409
Terjesen T, Horn J. Prognostic value of severity of dislocation in late-detected developmental dysplasia of the hip. J Child Orthop. 2020;14(4):266–72.
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