Pediatric Outcomes and Recovery With Peri-Operative Iron Supplement Evaluation (PORPOISE)
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
⁃ Note that the investigators will include patients who do or do not have a diagnosis of a neuromotor condition. The investigators may not include patients who are enrolled in other conflicting research studies.