Table 3 Complications
All Hips (n = 548) | Femoral shortening (n = 119) | No Femoral shortening (n = 429) | P Value | Additional surgeries | |
|---|---|---|---|---|---|
Median Follow-up (IQR), months | 27 (13–48.25) | 25 (12–40.5) | 28 (13–54) | 0.096 | |
Recurrent displacement, % | 31 (5.7) | 6 (5) | 25 (5.8) | 0.917 | 21 hips underwent revision |
Avascular necrosis, % | 30 (5.5) | 5 (4.2) | 25 (5.8) | 0.644 | One patient had greater trochanter transfer |
Cast related fractures, % | 12 (2.2) | 1 (0.8) | 11 (2.6) | 0.477 | One patient had operative fixation of tibia fracture and one femur fracture reduced under general anaesthesia |
Full thickness pressure ulcers, % | 2 (0.4) | 0 | 2 (0.5) | 1 | |
Unplanned dirty cast change, % | 7 (1.3) | 1 (0.8) | 6 (1.4) | 1 | |
Deep surgical site infection, % | 4 (0.7) | 3 (2.5) | 1 (0.2) | 0.034 | 3 were debrided once, one hip required several surgeries |
Superficial surgical site infection, % | 1 (0.2) | 0 | 1 (0.2) | 1 | |
Other early postoperative infections | 16 (2.9) | 4 (3.4) | 12 (2.8) | 0.759 | |
persistent stifness | 6 (1.1) | 1 (0.8) | 5 (1.2) | 1 | Three hips had manipulation under anaesthesia without substantial improvement |
Leg length discrepancy (> 2 cm) | 3 (0.5) | 1 (0.8) | 2 (0.5) | 0.521 | |
Neurological injury | 2 (0.4) | 0 | 2 (0.5) | 1 | One femoral nerve transection and common peroneal nerve entrapment recovered after K-wire removal and cast change |