The Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in young adults

The results were evaluated for 29 adult patients (33 hips) who had undergone a Salter innominate osteotomy because of painful developmental dysplasia of the hip (DDH). The mean age at the time of the index operation was 24.8 years (range 19-35 years), and the mean duration of follow-up was 3.5 years...

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Bibliographic Details
Published in:Archives of orthopaedic and trauma surgery 1999-05, Vol.119 (3-4), p.186-189
Main Authors: BÖHM, P, KLINGER, H.-M, KÜSSWETTER, W
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Cartilage
Female
Hip Dislocation - diagnostic imaging
Hip Dislocation - surgery
Hip joint
Humans
Male
Medical sciences
Musculoskeletal diseases
Orthopedic surgery
Osteotomy
Pain
Patients
Radiography
Retrospective Studies
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Treatment Outcome
Young adults
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Summary:The results were evaluated for 29 adult patients (33 hips) who had undergone a Salter innominate osteotomy because of painful developmental dysplasia of the hip (DDH). The mean age at the time of the index operation was 24.8 years (range 19-35 years), and the mean duration of follow-up was 3.5 years (range 2-8 years). Complications included one non-union and one dislocation of the osteotomy after a fall; both patients had to undergo re-operation. The mean Harris hip score improved from 65 points preoperatively to 82 points at the latest follow-up examination. In hips with no coxarthrosis (n = 11), the mean Harris hip score improved from 78 points to 89 points; in hips with coxarthrosis grade 1 (n = 15), it improved from 59 points to 85 points, while in hips with coxarthrosis grade 2 (n = 7), it improved only from 57 to 68 points. There was a diminution of coxarthrosis in 11 hips, no change in 17, and worsening in 5 hips. The mean center-edge angle of Wiberg was 11.2 deg (range 0-19 deg) preoperatively compared with 27.4 deg (range 21-37.5 deg) postoperatively and 27.6 deg at the latest follow-up examination. Our findings demonstrate that the Salter innominate osteotomy provides clinical improvement as well as radiographic improvement in adult patients with DDH, and this procedure is, compared with more complex pelvic osteotomies, a relatively simple and safe procedure with a low risk of complications.
ISSN:0936-8051
1434-3916
DOI:10.1007/s004020050387