The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip.

Barrett, William P.; Staheli, Lynn T.; Chew, Deanna E.

doi:10.2106/00004623-198668010-00010

Cited by 136 publications

(99 citation statements)

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“…Several authors have reported 71% to 94% major improvement in parameters such as the acetabular index, the center-edge angles, the Reimers index, the acetabular depth-to-width ratios, the Severin classification, the Tönnis grading and the McKay's criteria of a Salter osteotomy with a mean followup of 5.5 to 30.9 years [1,3,6,11,23,30] (Table 5). Complication rates, including bone graft displacement, migration of the K-wire, redislocation, hip flexion and abduction contractures, and avascular necrosis of the femoral head, were reported as an overall 30% by Bohm and Brzuske [3] 63.3% by Gulman et al [5], and 6% by Hosny and Fattah [10].…”

Section: Discussionmentioning

confidence: 99%

“…We asked whether: (1) there was any triradiate cartilage damage causing early closure; (2) the acetabular index could be substantially improved via the combined osteotomy; and (3) the age at surgery influenced various radiographic features ostensibly reflecting outcomes (acetabular index, the center-edge angles, the Reimers index, the acetabular depth-to-width ratios, the Severin classification, the Tönnis grading and the McKay's criteria).…”

Section: Introductionmentioning

confidence: 99%

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How Are Outcomes Affected by Combining the Pemberton and Salter Osteotomies?

Bursalı¹,

Tonbul²

2008

Clinical Orthopaedics &Amp; Related Research

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The Pembersal operation combines features of the Pemberton and Salter osteotomies. Results have usually been reported in patients with dysplasia but without frank dislocation. We asked if the following factors influence the outcome of the Pembersal operation in patients with dislocated hips: triradiate cartilage damage causing early closure; the acetabular index improvement; and the age of the patient at time of operation. We assessed triradiate cartilage damage, a modified McKay clinical classification, acetabular index, center-edge angles, Reimers index, acetabular depth-to-width ratios, Severin classification and Tönnis grading of 33 patients (44 hips) have been evaluated in this retrospective study. The mean age at surgery was 5 years (range, 1.5-14 years). The minimum followup was 5 years (mean, 10.5 years; range, 5-17 years). Preoperatively, three (7%) hips were Tönnis Grade 2, 10 (23%) were Grade 3, and 31 (70%) were Grade 4. Eight (18%) hips were Severin Class 1, 32 (73%) Class 2, and four (9%) were Class 3. According to McKay's criteria satisfactory results with a rate of 76% were obtained.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How Are Outcomes Affected by Combining the Pemberton and Salter Osteotomies?

Bursalı¹,

Tonbul²

2008

Clinical Orthopaedics &Amp; Related Research

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“…Using the criteria outlined by Dekkers et al [9], 17 studies could be broadly classified as cohort studies and one as a case series [46]. Nine of these studies were comparative, investigating the differences among different surgical indications, interventions, or patient populations [3,11,22,26,28,31,38,40,46]. For six of these studies, only selected subgroup data fulfilled the inclusion criteria [3,26,28,31,40,46].…”

Section: Search Strategy and Study Selection Criteriamentioning

confidence: 99%

“…In total, data were available on 1048 hips in over 806 patients who had an anterior open reduction of the hip for DDH. Individual patient data were available for 149 patients from seven studies [3,28,30,31,39,40,46].…”

Section: Search Strategy and Study Selection Criteriamentioning

confidence: 99%

“…The studies that used the Salter classification did not report the specific pattern of AVN; thus, it was assumed that all the cases represented clinically relevant AVN. Barrett et al [3] used a binary classification for AVN, and again if present, it was assumed to be clinically relevant. Zionts et al [46] described AVN in terms of either temporary irregular ossification (TIO) or central AVN.…”

Section: Search Strategy and Study Selection Criteriamentioning

confidence: 99%

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How Does Bony Surgery Affect Results of Anterior Open Reduction in Walking-age Children With Developmental Hip Dysplasia?

Kothari

Grammatopoulos

Hopewell

et al. 2016

Clinical Orthopaedics &Amp; Related Research

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Background Anterior open reduction is commonly used to treat hip subluxation or dislocation in developmental dysplasia of the hip (DDH) in walking-age children. Pelvic and/ or femoral osteotomy may be used in addition, but it is unclear how this affects avascular necrosis (AVN) risk and radiological and clinical results. Questions/purposes The purpose of this study was to review studies of walking-age patients treated either with an open reduction alone or combined with pelvic and/or femoral osteotomies and determine whether there is a difference between groups in the proportion of patients: (1) developing clinically relevant femoral head AVN (Kalamchi & MacEwen Types II to IV or equivalent); (2) achieving a satisfactory radiological result (Severin Grade I/II or equivalent); (3) achieving a satisfactory clinical result (McKay excellent or good rating or equivalent); and (4) requiring further nonsalvage surgery. Methods MEDLINE, Embase, the Cochrane Centre Register of Controlled Trials, and ClinicalTrials.gov were searched for studies of anterior open reduction for DDH in children aged 12 months to 6 years old. We assessed AVN, clinical and radiological results, and requirement for further procedures. The effect of failed conservative management, traction, age at operation, and followup duration was also assessed. Eighteen studies met the review eligibility criteria. Conclusions Open reduction with concomitant pelvic osteotomy is the most appropriate option to provide durable results with the lowest risk of AVN and best radiological and clinical results. There is no evidence that addition of a femoral osteotomy provides any additional benefit to the patient, although it may be necessary to achieve reduction. Level of Evidence Level III, therapeutic study.

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Developmental Dysplasia of the Hip

Shapiro¹

2019

Pediatric Orthopedic Deformities, Volume 2

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The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip.

Cited by 136 publications

References 0 publications

How Are Outcomes Affected by Combining the Pemberton and Salter Osteotomies?

How Are Outcomes Affected by Combining the Pemberton and Salter Osteotomies?

How Does Bony Surgery Affect Results of Anterior Open Reduction in Walking-age Children With Developmental Hip Dysplasia?

Developmental Dysplasia of the Hip

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