Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Purpose. To compare the results of Salter innominate osteotomy (SIO) for treatment of developmental dysplasia of the hip (DDH) in children. Methods. Between 1994 and 2002, 53 girls and 8 boys with DDH underwent open reduction and SIO; 21 were on the left side, 22 on the right side, 18 bilateral. The...

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Main Authors: M Tukenmez, G Tezeren
Format: Article
Language:English
Published: SAGE Publishing 2007-12-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900701500308
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author M Tukenmez
G Tezeren
author_facet M Tukenmez
G Tezeren
author_sort M Tukenmez
collection DOAJ
description Purpose. To compare the results of Salter innominate osteotomy (SIO) for treatment of developmental dysplasia of the hip (DDH) in children. Methods. Between 1994 and 2002, 53 girls and 8 boys with DDH underwent open reduction and SIO; 21 were on the left side, 22 on the right side, 18 bilateral. They were divided into 2 groups: group 1 included 35 patients aged younger than 3 years (46 hips) and group 2 included 26 patients aged 3 years or older (33 hips). Clinical outcomes were assessed using the modified McKay criteria to measure pain symptoms, gait pattern, Trendelenburg sign status, and the range of hip joint movement. Radiographic outcomes were evaluated using the Severin method to measure the Sharp acetabular angle and the centre-edge angle. Results. Group-1 children achieved slightly better reduction and stabilisation of the hip joint empirically, but clinical and radiographic results and complication rates in the 2 groups were not significantly different. Conclusion. Open reduction and SIO without preoperative traction is effective for the management of DDH in children younger than 6 years.
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spelling doaj.art-ce04a58d957c4c07968374f94e49c8412022-12-21T17:59:47ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902007-12-011510.1177/230949900701500308Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the HipM TukenmezG TezerenPurpose. To compare the results of Salter innominate osteotomy (SIO) for treatment of developmental dysplasia of the hip (DDH) in children. Methods. Between 1994 and 2002, 53 girls and 8 boys with DDH underwent open reduction and SIO; 21 were on the left side, 22 on the right side, 18 bilateral. They were divided into 2 groups: group 1 included 35 patients aged younger than 3 years (46 hips) and group 2 included 26 patients aged 3 years or older (33 hips). Clinical outcomes were assessed using the modified McKay criteria to measure pain symptoms, gait pattern, Trendelenburg sign status, and the range of hip joint movement. Radiographic outcomes were evaluated using the Severin method to measure the Sharp acetabular angle and the centre-edge angle. Results. Group-1 children achieved slightly better reduction and stabilisation of the hip joint empirically, but clinical and radiographic results and complication rates in the 2 groups were not significantly different. Conclusion. Open reduction and SIO without preoperative traction is effective for the management of DDH in children younger than 6 years.https://doi.org/10.1177/230949900701500308
spellingShingle M Tukenmez
G Tezeren
Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip
Journal of Orthopaedic Surgery
title Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip
title_full Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip
title_fullStr Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip
title_full_unstemmed Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip
title_short Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip
title_sort salter innominate osteotomy for treatment of developmental dysplasia of the hip
url https://doi.org/10.1177/230949900701500308
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