Sipahioğlu, Serkan Harran Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Aşkar, Hüseyin Samandağ Devlet Hastanesi - Ortopedi Kliniği, Turkey , Zehir, Sinan Hitit Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey , Işıkan, Uğur Erdem Harran Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, Turkey

Salter osteotomy in the treatment of developmental dysplasia of the hip

33454

Aim. 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.

532

Hip dislocation, congenital , osteotomy

Cumhuriyet Medical Journal

539