Innominatumosteotomie nach Salter

Schulze, Alexander; Tingart, Markus

doi:10.1007/s00132-016-3290-5

Cited by 7 publications

(1 citation statement)

References 13 publications

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“…All the children were treated with a Salter pelvic and Pemberton osteotomy combined with femoral shortening osteotomy. According to the match between the femoral head and acetabulum, and where the acetabulum covered the femoral head, Salter pelvic osteotomy and Pemberton osteotomy were selected ( 16 , 17 ), respectively. At the same time, a femoral shortening osteotomy was selected according to the difficulty of femoral head reduction and the pressure between the acetabulum and the femoral head after reduction, and the length of shortening was evaluated.…”

Section: Methodsmentioning

confidence: 99%

Risk factors for femoral overgrowth after femoral shortening osteotomy in children with developmental dysplasia of the hip

Pang

Guo²,

Zhuang³

et al. 2023

Front. Pediatr.

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ObjectiveDevelopmental dysplasia of the hip (DDH) refers to a series of deformity of acetabulum and proximal femur and abnormal relationship between them, it represents the most common hip disease in children. Overgrowth and limb length discrepancy (LLD) was common complication in children undergoing femoral shortening osteotomy. Therefore, the purpose of this study was to explore the risk factors of overgrowth after femoral shortening osteotomy in children with DDH.MethodsWe included 52 children with unilateral DDH who underwent pelvic osteotomy combined with femoral shortening osteotomy between January 2016 and April 2018, including seven males (six left and one right hip) and 45 females (33 left and 12 right hips) with an average age of 5.00 ± 2.48 years, and an average follow-up time of 45.85 ± 6.22 months. The amount of overgrowth and limb length discrepancies (LLDs) were calculated. The risk factors of femoral overgrowth ≥1 cm and LLD ≥ 1 cm were analyzed.ResultsThere were statistical differences in age (p < 0.001) and operation duration (p = 0.010) between the two groups with femoral overgrowth <1 cm and ≥1 cm. There was a statistical difference in operation duration (p < 0.001) between the two groups. Age (p < 0.001) was an independent influencing factor of femoral overgrowth in children with unilateral DDH after pelvic osteotomy and femoral shortening osteotomy, and a risk factor (p = 0.008) of LLD in these children.ConclusionThe overgrowth and LLD of children with developmental dislocation of hip after pelvic osteotomy and femoral shortening osteotomy are significantly related to age. There was no significant difference between different pelvic osteotomies for femoral overgrowth in children. Therefore, surgeons should consider the possibility of LLD after femoral shortening osteotomy in children of a young age.

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Section: Methodsmentioning

confidence: 99%

Risk factors for femoral overgrowth after femoral shortening osteotomy in children with developmental dysplasia of the hip

Pang

Guo²,

Zhuang³

et al. 2023

Front. Pediatr.

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Can Salter osteotomy correct late diagnosed hip dysplasia: A retrospective evaluation of 49 hips after 6.7 years?

Schmidutz

Roesner

Niethammer

et al. 2018

Orthopaedics & Traumatology: Surgery & Research

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Sacrum osteotomy to change pelvic parameters: Surgical technique and 3D modeling

Khalifé¹,

Khalife²,

Pascal‐Moussellard³

2020

Orthopaedics & Traumatology: Surgery & Research

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Some clinical situations, such as great sagittal imbalance, high-grade isthmic spondylolisthesis or sacral malunion could require a sacral osteotomy to decrease pelvic parameters, horizontalize the sacrum or correct sacral malunion. Here is described a novel technique to perform a sacral osteotomy to decrease pelvic parameters with a lumbo-pelvic construct, with first a sacral slope decrease, then a pelvic tilt decrease. Methods Simulations have been performed using tridimensional reconstructions of the lumbar spine and pelvis, made from CT-scan images of a healthy individual. A cadaveric study has then been performed. Results 3D modeling exhibited linear relationship between osteotomy angle and pelvic incidence correction, through multiple simulations with 1° increment. Cadaveric study demonstrated feasibility. Conclusion This preliminary work shows that this technique is efficient to decrease pelvic parameters. A linear relationship has been exhibited between osteotomy angle and PI decrease, as per the following formula: osteotomy angle = PI change/0.84.

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Innominatumosteotomie nach Salter

Cited by 7 publications

References 13 publications

Risk factors for femoral overgrowth after femoral shortening osteotomy in children with developmental dysplasia of the hip

Risk factors for femoral overgrowth after femoral shortening osteotomy in children with developmental dysplasia of the hip

Can Salter osteotomy correct late diagnosed hip dysplasia: A retrospective evaluation of 49 hips after 6.7 years?

Sacrum osteotomy to change pelvic parameters: Surgical technique and 3D modeling

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