Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Tükenmez, Mehmet; Tezeren, Gündüz

doi:10.1177/230949900701500308

Cited by 16 publications

(16 citation statements)

References 14 publications

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“…Our findings show a shorter range of interval in evaluated patients after surgical reduction in comparison with other studies [25] using Salter’s technique, while mean angle values were in line with other authors’ results [25]. …”

Section: Discussionsupporting

confidence: 92%

“…Since angle values less than 15 degrees [26] are considered for surgical reduction, performed Salter’s innominate osteotomy gains post-surgical trends of angles regarding Wiberg’s centre-edge angle above 25 degrees [27] in all age groups, suggesting its beneficial role in correction of DDH. Our approaches with Salter’s technique give post-surgical mean angle values that are in line with other studies, especially in patients from the first two age groups [25]. …”

Section: Discussionsupporting

confidence: 88%

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Developmental dysplasia of the hip – angle trends after operation in different age groups

Milasinovic¹,

Brdar²,

Petronić³

et al. 2010

aoms

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IntroductionThe aim of our study was to evaluate changes in collodiaphyseal, Hilgenreiner and Wiberg’s centre-edge angle values in different age groups of children before and after surgical correction of developmental dysplasia of the hip.Material and methodsWe evaluated 78 children with developmental hip dysplasia treated at University Children’s Hospital in Belgrade during a 10-year period. Three age groups were analysed: the first group younger than 24 months of life, the second group between 25 and 48 months, and the third group older than 48 months of life. Three angles were evaluated separately before and after surgical correction: collodiaphyseal angle, Hilgenreiner angle and Wiberg’s centre-edge angle.ResultsWe found a highly statistically significant difference (p < 0.001) before and after the operation for collodiaphyseal and Hilgenreiner angle in the first and second age group, while there was a statistically significant difference (p < 0.05) in the third age group. Regarding Wiberg’s centre-edge angle, there was a highly statistically significant difference (p < 0.001) in all age groups. One way ANOVA revealed a highly statistically significant difference (p < 0.001) for collodiaphyseal and Hilgenreiner angle in age groups before the operation, while after surgery such a trend remained for Hilgenreiner angle. Regarding collodiaphyseal and Wiberg’s centre-edge angle in the period after correction, there was no statistical difference (p > 0.05) between age groups of the participants.ConclusionsOur findings demonstrate that age of participants is in correlation with correction of values for collodiaphyseal angle, Hilgenreiner angle and Wiberg’s centre-edge angle in surgically treated children diagnosed with developmental dysplasia of the hip.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Developmental dysplasia of the hip – angle trends after operation in different age groups

Milasinovic¹,

Brdar²,

Petronić³

et al. 2010

aoms

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“…The remodelling potential of the acetabulum has been shown to diminish around the age of 5 years, with Brougham et al [ 22 ] finding a range of 17 months to 8 years for the cessation of development. The evidence in the literature is not conclusive regarding the optimum age for surgery for the correction of residual dysplasia [ 9 , 23 , 24 ], and no published consensus exists. This uncertainty as to best practice is borne out in our results, with no intra- or inter-regional pattern evident for preferred age for osteotomy.…”

Section: Discussionmentioning

confidence: 99%

“…This study shows that these patient factors are included in the decision-making matrix of 59 % of surgeons who responded. The eponymous osteotomies described in the literature used in this age group are the Dega osteotomy [ 10 ] and the Pemberton osteotomy [ 25 ], both of which hinge at the triradiate cartilage, and the Salter osteotomy [ 11 , 24 ], which hinges at the pubic symphysis. Our survey has shown that 35 % of surgeons choose their osteotomy regardless of acetabular morphology or imaging.…”

Section: Discussionmentioning

confidence: 99%

International variance in the treatment of developmental dysplasia of the hip

Feeley

Green

Rowan

et al. 2014

Journal of Children's Orthopaedics

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IntroductionDevelopmental dysplasia of the hip (DDH) is the most common congenital musculoskeletal abnormality. Recourse to definitive surgical treatment is not typically taken until over the age of 18–24 months. International consensus regarding age at surgery, degree of dysplasia requiring surgery and type of osteotomy is not available in the literature.Study aimsTo determine variation in timing and type of osteotomy for persistent DDH across the world.MethodologySenior authors of recent publications pertaining to hip dysplasia were sampled. Participants’ practice relating to age and radiological indications for surgery were determined.ResultsThirty-two surgeons responded from five different geographical regions. No inter-regional consensus was established regarding investigations to determine the need for osteotomy, preferred osteotomy type or ideal age at which to perform an osteotomy.ConclusionInternational agreement regarding the surgical management of DDH does not exist. This common congenital condition warrants development of a treatment algorithm.

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“…For children under 3 months, the preferred treatment is Pavlik bandaging and/or dynamic hip orthosis; for children of 3–18 months (with/without arthrography), closed and open reductions (ORs) are most common; and for children 18 months and older, pelvic osteotomies are used. 1 2 3 4 5 6 7 8 9 Pemberton described an acetabuloplasty, now called the Pemberton pericapsular osteotomy (PPO), where an iliac osteotomy ended at the posterior limb of the triradiate cartilage and the anterolateral rim of the acetabulum was hinged downward and laterally. 3 PPO performed with OR may be adequate for DDH patients over 18 months, but femoral shortening (FS) osteotomy is often performed alongside pelvic osteotomy for patients aged 3 years plus.…”

Section: Introductionmentioning

confidence: 99%

Mid term results of Pemberton pericapsular osteotomy

Balioğlu

Öner²,

Aykut

et al. 2015

IJOO

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Background:Treatment for developmental dysplasia of the hip (DDH) varies according to the age of the patient. For children under 3 months, the preferred treatment is Pavlik bandaging and/or dynamic hip orthosis;for children of 3–18 months (with/without arthrography), closed and open reductions (ORs) are most common; and for children 18 months and older, pelvic osteotomies are used. Radiological and functional outcomes of patients between 16 months and 7 years of age who underwent Pemberton pericapsular osteotomy (PPO) were evaluated.Materials and Methods:Twelve patients with developmental dysplasia of the hip (DDH) received treatment on 14 hips between 2001 and 2006. All patients with DDH had PPO as pelvic osteotomy. PPO was done solely in 3 hips, PPO and open reduction (OR) in and OR + PPO + femoral shortening in 6. The average age was 39.85 months (range 16–83 months). All had 1-stage surgery. Acetabular index (AI) and the grade of displacement were determined according to Tönnis’. Center-edge (CE) angle was evaluated. Clinical evaluations were made as described by McKay, radiological assessments by Severin's criteria and femoral head avascular necrosis measurements by Kalamchi–MacEwen's criteria. Average followup periods were 83.35 months (range 48–115 months).Results:Preoperative and postoperative average AI levels were 41.92° (range 30–50°) and 19,5° (range 5–34°), respectively (P < 0.001). According to Severin's classification, 11 (78.57%) patients were Ia, 1 (7.14%) was Ib, 1 (7.14%) was II and 1 (7.14%) was III. According to Kalamchi–McEven criteria, 12 (85.71%) patients were type I, 2 (14.28%) patients were type II. CE postoperatively was measured as 24.24° (range 12–41°). Clinically (McKay), the functional results in 13 (92.85%) patients were very good (I) and in 1 (7.14%) was good (II).Conclusions:Functional and radiological mid term outcomes were found to be comparable in most of the patients with DDH undergoing PPO between the ages of 16 months and 7 years.

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Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Abstract: Open reduction and SIO without preoperative traction is effective for the management of DDH in children younger than 6 years.

Cited by 16 publications

References 14 publications

Developmental dysplasia of the hip – angle trends after operation in different age groups

Developmental dysplasia of the hip – angle trends after operation in different age groups

International variance in the treatment of developmental dysplasia of the hip

Mid term results of Pemberton pericapsular osteotomy

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