49 Accurate Hip Reduction and SPICA Application for DDH – the Case for Intraoperative CT

Abstract Aim Accurate reduction of the hip joint and SPICA application for treatment developmental dysplasia (DDH) is crucial long term success – those undergoing surgical intervention, or closed only. In Alder Hey Children’s Hospital we compared two methods confirming patients DDH. Those receiving either post-operative departmental computed tomography (CT) an intra-operative CT. Specific outcome assessed were, need repeat CT application, return to theatre (RTT), general anaesthetic (GA) (with associated risks), as well effect on overall length stay (LOS). Method Patient lists were attained from radiography department, information regarding RTT LOS derived Meditech V6. scans checked PACS imaging system. Results Retrospective analysis all cases performed, included 102 2015–2018 a CT, after GA. Of these, 6 required second GA, 1 patient 3 GA’s. Mean was days in requiring application. Analysis group intra-operatively scanned patients, 72 2018–2020. 0 GA RTT, despite change SPICA. 4 these patients. Conclusions Intra-operative getting it right first time, reducing risks cost time. It reduced mean by day overall.