Salter Procedure in Congenital Dislocation of the Hip

Gallien, Roger; Bertin, Denis; Lirette, Richard

doi:10.1097/01241398-198408000-00007

Cited by 25 publications

(10 citation statements)

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“…Only 2 subluxations and one redislocation were encountered in group 2, which was comparable to results in other series. 4,15,18,23 Such low rates were attributed to appropriate pelvic osteotomy and thorough capsular repair, absence of myostatic contractures in the psoas, femoral acetabular congruence, experienced surgeons, and younger patients that did not require additional operations (excepting open reduction and pelvic osteotomy).…”

Section: Discussionmentioning

confidence: 99%

Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Tükenmez¹,

Tezeren

2007

J Orthop Surg (Hong Kong)

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Section: Discussionmentioning

confidence: 99%

Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Tükenmez¹,

Tezeren

2007

J Orthop Surg (Hong Kong)

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“…Redislokasyon ve resubluksasyon oranları, Salter ve Dubos'un serisinde %19,9; Gallien ve ark. 'nın [2,16] serisinde %18,0'dır. Osteotominin uygun teknikte yapılması, kapsülorafinin yeterli yapılması, kalça ekleminin uyumunun iyi olması, deneyim ve erken yaş redislokasyon oranının etkileyen faktörler olarak tanımlanmıştır [15].…”

Section: Discussionunclassified

Gelişimsel kalça displazisi tedavisinde Salter osteotomisi

Sipahioğlu¹,

Aşkar²,

Zehir³

et al. 2014

Cumhuriyet Med J

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Amaç. Gelişimsel kalça displazisi bulunan olgularda Salter pelvik osteotomi uygulaması sonrası erken dönem sonuçlarını radyolojik ve klinik olarak değerlendirmek. Yöntem. Kliniğimize 2002Kliniğimize -2008 yılları arasında başvuran ve daha önce herhangi bir tedavi uygulanmamış GKD tanısı konmuş, açık redüksiyon ve Salter İnnominate osteotomi ile tedavi edilmiş 51 kalça (44 hasta,12 erkek, 32 kız, ortalama yaş 30,7 ay) ortalama 25 aylık takip sonucunda retrospektif olarak değerlendirildi. Olgular klinik olarak McKay sınıflamasına, radyolojik olarak Severinin kriterlerine ve avasküler nekroz (AVN) varlığı ise Kalamchi-MacEwen kriterlerine göre değerlendirildi. Bulgular. Preoperatif asetabular indeksi ortalama 37,4 (29-50) derece olan hastaların en son takibi sırasında alınan postoperatif asetabular indeks değerleri ortalama 24,1 (12-32) derece bulundu. MacKay ın klinik değerlendirme sistemine göre 51 kalçanın 43'ü (%84) mükemmel, 7'si (%13,7) iyi, 1'i (%2) orta idi. Severinin radyolojik sınıflamasına göre 26 kalça (%51) çok iyi, 15 kalça (%29,4) iyi, 8 kalça (%15,7) orta ve 2 kalça (%3,9) kötü olarak değerlendirildi Postoperatif AVN oranı yaklaşık %17,6 (9 kalça) idi. Sonuç. Onsekiz ay sonrası GKD tedavisinde Salter innominate osteotomisi etkin bir yöntem olarak pelvis osteotomisi seçenekleri arasında değerlendirilebilir. İleri yaşlarda artan komplikasyon riskini düşürmek için osteotomi tekniğine uygun yapılmalıdır. Anahtar sözcükler: Kalça çıkığı, doğumsal, osteotomi AbstractAim. We evaluated the short-term results of Salter pelvic osteotomy for the treatment of developmental dysplasia of the hip (DDH). Methods. Forty four patients (32 girls, 12 boys; mean age 30.7months) with DDH underwent Salter innominate osteotomies in 51 hips were evaluated retrospectively. Clinical evaluations were made according to the McKay criteria, radiologic assessment was made using Severin criteria and avascular necrosis of the femoral head was assessed using the Kalamchi-MacEwen criteria. The mean follow-up period was 25 month. Results. The mean acetabular index which was 37.4o (29-50) preoperatively decreased to 24.1o (12-32) postoperatively. Clinical results were excellent in 43 hips (84%), good in 7 (13.7%) and moderate in one (2%) patient. 26 hips (51%) were excellent, 15 hips (29.4%) were good, 8 hips (15.7%) were moderate and 2 hips (3.9%) were bad according to Severin radiologic classification. According to the Kalamchi-MacEwen criteria, there was avascular necrosis in nine hips (17.6%) postoperatively. Conclusion. Salter innominate osteotomy can be evaluated as one of the effective method among pelvic osteotomies in the treatment of DDH patients older than eghteen years old.For reducing complication risk which increases age osteotomy should be done in a proper technique.

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“…In the age bracket from six months to four years of age, ortheses, traction, closed reduction, open reduction and both femoral and pelvic osteotomies can be used. 8 Pelvic osteotomies in association with capsulorrhaphy continues to be the treatment of choice for patients over 18 months of age. 17 A relatively frequent complication in the treatment of DDH is the recurrence of dislocation, with loss of the reduction obtained previously.…”

Section: Discussionmentioning

confidence: 99%

“…The possibilities include failure to obtain concentric reduction, technical failure in correcting the obstacles that prevent reduction, insufficient acetabular coverage, poor positioning of the proximal femur and capsular laxity. 6-8 …”

Section: Introductionmentioning

confidence: 99%

Sutura simples e âncora em quadris de coelhos

et al. 2012

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ObjectiveUsing biomechanical studies, this research aims to compare hip capsulorrhaphy in rabbits, carried out with two different techniques: capsulorrhaphy with simple sutures and with anchors.MethodThirteen New Zealand Albino (Oryctolaguscuniculus) male rabbits, twenty-six hip joints, were used. First, a pilot project was performed with three rabbits (six hip joints). This experiment consisted of ten rabbits divided into two groups: group 1 underwent capsulorrhaphy on both right and left hips with simple suture using polyglycolic acid absorbable thread, and group 2 underwent capsulorrhaphy with titanium anchors. After a four-week postoperative period, the animals were euthanized and the hip joints were frozen. On the same day of the biomechanical studies, after the hip joints were previously unfrozen, the following parameters were evaluated: rigidity, maximum force, maximum deformity and energy.ResultsThere was no relevant statistical difference in rigidity, maximum force, maximum deformity and energy between the simple suture and anchor groups.ConclusionThrough biomechanical analyses, using parameters of rigidity, maximum force, maximum deformity and energy, it has been shown that capsulorrhaphy with simple suture and with anchors has similar results in rabbit hip joints. Level of Evidence II, Prospective Comparative Study.

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Salter Procedure in Congenital Dislocation of the Hip

Cited by 25 publications

References 0 publications

Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Salter Innominate Osteotomy for Treatment of Developmental Dysplasia of the Hip

Gelişimsel kalça displazisi tedavisinde Salter osteotomisi

Sutura simples e âncora em quadris de coelhos

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