Comparison of salter osteotomy results in two different age groups in the treatment of developmental hip dislocation

Özkan, Sezai; Adanaş, Cihan

doi:10.28982/josam.700839

Cited by 1 publication

(5 citation statements)

References 22 publications

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“…However, regardless of which side is affected, treatment outcomes do not appear to be significantly influenced by the side involved. This finding is consistent with our own study as well as previous research [8,11,16]. In our study, we observed 24 cases of left-side involvement, 25 cases of right-side involvement, and 14 cases of bilateral involvement (27 hips in total).…”

Section: Discussionsupporting

confidence: 94%

“…While others report no significant difference in AVN rate between the two groups; [3,11] Even, Akman did not report any AVN occurrence in CR plus SO [2]. In addition, Ozkan believed that AVN in SO relates more to surgical technique than age at the operation [16] but we did not compare our two groups on this subject.…”

Section: Discussionmentioning

confidence: 68%

“…In same category of studies; Yilar [11] reported a re-dislocation rate of 28.6% and 3.7%, and Kothari [3] a rate of 56% and 11% in open reduction and pelvic osteotomy group respectively; and additional surgery would be needed in 22.4% of OR cases. [28] Although age had no effect on re-dislocation mean rate and it was 6.8% and 4.8% in 18-30 months and 31-48 months intervals, respectively [16]. Some authors concluded that the best results in pelvic osteotomy can be obtained from 2.5 or 5 years to 8 years of age, [14] while radiologic results were more acceptable under the age of 2 years (94%) compared to over the age of 4 (71%) or between the age 2 to 4 (80%), [20] and patients between 1.5 and 2 years had better functional hip scores after surgery.…”

Section: Discussionmentioning

confidence: 94%

“…Primary approach to DDH remains controversial between 18 to 24 months. [9] Majority of DDH cases are females, approximately 75%-82% of all DDH cases in recent studies [8,14,16]. Moreover, Gurger et al found all their cases to be female [15].…”

Section: Discussionmentioning

confidence: 99%

“…[24] Some factors can further increase AVN risk, such as difficult reduction or excessive internal rotation and abduction. As well as failed preoperative conservative treatment, [20] and the older ages [8,16]. Risk of AVN was 1% to 48% [25] after reduction in DDH, which was increased with OR plus SO [24,26] in some studies.…”

Section: Discussionmentioning

confidence: 99%

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Predictive Factors for Requiring Salter Osteotomy in DDH

Valinejad,

Maleki,

Sabetian

et al. 2024

SVOAOR

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Purpose: Developmental dysplasia of the hip (DDH) is a wide spectrum condition, ranging from stable acetabular dysplasia to irreducible dislocation, with a variety of different treatment approaches. We aim to find any correlation between some of the most in use pre-operative values and requiring a concomitant salter osteotomy (SO). Methods: In our retrospective cohort study, all defined DDH over 12 months old, assessed between the years of 2017 and 2021 in our orthopedic hospital and categorized under two groups: open reduction, and salter group. Retrospectively, we compared age, gender, pre-operative acetabular index (AI) and medial gap (MG) between two groups. Results: There was no relationship between SO requirement and patient’s gender (p=0.186). There was a higher chance of requiring SO in bilateral cases without any significance (p=0.11). Also, the difference between the two groups, in MG terms, was not significant (p=0.91). With an AI over 30°, salter osteotomy requirement would increase 2.5-fold and 4.8-fold, with each year (age) and degree (AI) increase, respectively. And if we include age over 3.5 years in the matter, SO requirement would increase by 15.7-fold and 5.8-fold with each year and degree increase, respectively. Conclusions: OR with wide safe zone would be a safe treatment method. According to our analysis, pelvic osteotomy would be done more often when age or pre-operative AI increases, but exact determination of osteotomy requirement pre-operatively, is considered highly difficult.

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Section: Discussionsupporting

confidence: 94%