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A long-awaited hip dysplasia surgery review in Ireland examining thousands of children is close to being finalised. However, it has emerged that a significant number of children, including those who had operations performed at Crumlin Hospital, will not be included in the process. The HSE confirmed that Dr Kishore Mulpuri, a recognised international figure in developmental hip dysplasia (DDH) and Chair of Orthopaedics at the University of British Columbia, will chair the External Expert Panel (EEP). The review is being established in response to concerns raised in the Thomas Report, an audit that identified significant variations in how DDH surgeries were assessed and recommended across hospitals.
Dr Kishore Mulpuri is known for:
If your child has been affected by this, we are here to provide guidance and legal support. If you need any help with confidentiality, please call 1800-844-104 or email [email protected]. You can also visit us at our 84 Talbot Street, Dublin 1, Ireland office.
UK surgeon Simon Thomas reviewed 147 surgeries performed between 2021 and 2023 at Temple Street, Crumlin, and Cappagh hospitals. His audit revealed inconsistencies in the criteria used to recommend surgery for DDH, which ultimately triggered the wider hip dysplasia surgery review in Ireland.
Key findings:
Who will be included in the new hip dysplasia surgery review?
The EEP will examine approximately 2,000 surgeries performed between 2010 and 2024. The scope of the hip dysplasia surgery review in Ireland includes:
Excluded:
The External Expert Panel will examine original medical decision-making by reviewing:
The process does not involve physical examinations or clinic visits.
Timeline:
Each child will receive an individual report, and a public summary will be published on the HSE website once the hip dysplasia surgery review in Ireland is completed.
Cappagh and CHI are continuing clinical reviews for patients under their care. Alongside this, the HSE has established dedicated mental-health supports for families affected by the surgeries or the ongoing review.
Supports available:
These services are available to any parent, guardian or young person affected by concerns around DDH surgeries.
Health Minister Jennifer Carroll MacNeill has instructed the HSE and CHI to maintain open communication with families, acknowledging ongoing anxiety and uncertainty. Continued engagement with the Hip Dysplasia Advocacy Group remains in place as the review progresses.
As the External Expert Panel finalises its structure, families continue to seek reassurance and clarity. With thousands of children affected over more than a decade, the coming months will be critical in determining how the hip dysplasia surgery review in Ireland addresses concerns and restores trust in clinical decision-making.
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