Improving Surgical Outcomes With Nutritional and Iron Supplement Support Before Varus-Derotation and Pelvic Osteotomy Surgeries in Children

What this Trial Is About

This research aims to improve surgical outcomes for children undergoing varus-derotation osteotomy VDRO or pelvic osteotomy, surgeries to prevent or treat hip displacement. Many of these children have cerebral palsy or other neuromotor disorders and face a higher risk of malnutrition and iron deficiency anemia, which can increase the need for blood transfusions during surgery. The study focuses on developing a comprehensive preoperative nutritional program, including iron supplementation when needed, to reduce these risks and improve recovery. Participants aged 0 to 18 scheduled for VDRO or pelvic osteotomy will be evaluated by a dietitian and have lab tests to check for iron deficiency. Those with low iron will receive iron supplements along with dietary education and other nutrition management, while those with adequate iron will receive nutrition support without iron supplements. The study also includes a historical comparison group who had surgery without these interventions. Iron supplementation dosing and other nutritional support like vitamin supplements, tube feed optimization, and dietary education are tailored to each patients needs. During the study, participants will be monitored through lab tests, nutrition assessments, and surveys to track adherence and family satisfaction. Researchers will measure outcomes such as the rate of blood transfusions during hospital stay, resolution of anemia, iron levels, surgical site infections, pressure wounds, and length of hospital stay. The study spans a two-year period, with follow-up up to 12 months after surgery, to assess the impact of the nutritional program on surgical recovery and overall health.

Pediatric Outcomes and Recovery With Peri-Operative Iron Supplement Evaluation