DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20202697

Surgical challenges of down syndrome with developmental dislocation or dysplasia of the hip undergo operative treatment under anaesthesia in teaching hospital

Mika K. Prasetyo, Sulis Bayusentono

Abstract


Developmental/dislocation of the hip is one of the orthopaedic issues and the most common problem of the hip in down syndrome (DS). Down syndrome often arises with its general laxity problematics, one of the things is developmental dislocation/dysplasia of the hip (DDH). In chronic cases, surgery is a must, and this is mentions in several journals. Some complications can occur in the process of anaesthesia with intubation. We report two cases, both of which are seven years old with patients in the first case experiencing DDH and patients in the second case experiencing dislocation. The first patient had open reduction surgery with capsulotomy and internal fixation. The second patient, close reduction, and hemi spica installation. The first patient has trouble breathing one week after surgery, and then the tracheotomy is performed. A tracheotomy performed for almost two months and hemi spica removed in September 2019. After hemi spica removal, the patients were then routinely controlled for rehabilitation polyclinics, and the results improved.


Keywords


Developmental dislocation hip, Down syndrome, Laryngomalacia

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References


Mik G, Gholve PA, Scher DM, Roger F, Green DW. Down syndrome: orthopedic issues. Current Opinion Pediatrics. 2008;20:30-6.

Hamilton J, Yaneza MMC, Clement WA, Kubba H. The prevalence of airway problems in children with Down's syndrome. Int J Pediatric Otorhinolaryng. 2016;81:1-4.

Landry AM, Thompson DM. Laryngomalacia: Disease Presentation, Spectrum and Management. Int J Pediatrics. 2012: 1-6.

Shott SR. Down Syndrome: Analysis of Airway Size and a Guide for Appropriate Intubation. Laryngoscope. 2000;110:585-92.

Akpek EA, Kayhan Z. Difficult Intubation in Pediatric Cardiac Anesthesia. J Cardiothoracic Vascular Anesthesia. 2004;18(5):610-2.

Ayari S, Aubertin G, Girschig H, Abbeele VDT, Mondain M. Pathophysiology and diagnostic approach to laryngomalacia in infants. European Annals Otorhinolaryng Head Neck Diseases. 2012;129(5):257-63.

Jacobsen FS, Hansson G. Orthopaedic disorders in Down’s syndrome world health organization about the term Mongol. Current Orthopaedics. 2000;14:215-22.

Mitchell RB, Call E, Kelly J. Diagnosis and Therapy for Airway Obstruction in Children with Down Syndrome. Arch Otolaryngol Head Neck Surg. 2003;129:642-5.