Varus-derotation osteotomy (VDRO) is a surgery to prevent or address hip displacement in children. Many children having this surgery have cerebral palsy or other neuromotor disorders, who have a higher rate of malnutrition, including low iron or anemia. This can affect their surgical outcomes, such as increasing their need for blood transfusions. This project aims to develop a preoperative nutritional program for VDRO patients, to improve their surgical outcomes and decrease their need for transfusions. This may include taking iron supplementation for patient with low iron or anemia. Participants will undergo a nutrition program before their surgery.
All patients scheduled for VDRO and/or pelvic osteotomy surgery (prospective cohort)
All patients who had VDRO and/or pelvic osteotomy surgery between February 2022 and December 2024 (historical cohort)
Ages 0-18 years old
Patients who have undergone a major surgical intervention in the last 3 months
Patients who have received a nutritional intervention that includes iron testing and treatment within the last 3 months
Patients in whom oral/enteral iron supplementation is contraindicated
Patients who have a bleeding disorder
University of British Columbia
Lead sponsor
BC Children's Hospital Research Institute
Collaborator