Advances in Orthopedic Surgery

Clinical Study

McHale Operation in Patients with Neglected Hip Dislocations: The Importance of Locking Plates


	Age/sex	Diagnosis/GMFCS	Previous hip surgeries	Fixation side	Postoperative spica cast	Followup (weeks)	Complications

1	14/F	Spastic diplegia Bilateral hip dislocation GMFCS 4	STR and VDRO	Nonlocking plate Unilateral	No	108	No

2	16/F	Spastic diplegia GMFCS 5	STR	Nonlocking plating Bilateral Reoperation on the Rt side using locking plate	Initially no 3 weeks of spica following reoperation	103	Loss of fixation on the right femur Reoperation and supracondylar fracture after cast removal

3	19/M	Spastic diplegia GMFCS 5	No	Nonlocking plating Bilateral	For 4 weeks	95	No

4	17	Spastic diplegia GMFCS 5	STR and VDRO	Bilateral LCP	No	87	No

5	23	Spastic diplegia GMFCS 5	No	Unilateral LCP	No	81	No

6	19	Spastic diplegia GMFCS 5	No	Bilateral LCP	No	69	No

7	21	Spastic diplegia GMFCS 5	No	Unilateral LCP	No	56	No

8	19	Spastic diplegia GMFCS 5	STR	Unilateral LCP	No	49	Skin irritation that resolved after plate removal

9	17	Spastic diplegia GMFCS 5	No	Bilateral LCP	No	26	No

STR: soft tissue release.
VDRO: varus derotational osteotomy.
GMFCS: gross motor function classification system.
F: female.
M: male.