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Updated: Jul 15, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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[Salter osteotomy: an overview].

Murat Pekmezci1, Muharrem Yazici

  • 1Department of Orthopedics and Traumatology (Ortopedi ve Travmatoloji Anabilim Dali), Medicine Faculty of Hacettepe University, Ankara, Turkey.

Acta Orthopaedica Et Traumatologica Turcica
|May 8, 2007
PubMed
Summary

Salter innominate osteotomy, a pelvic surgery for hip dysplasia, repositions the acetabulum. This procedure, when performed with precise technique and patient selection, yields excellent outcomes.

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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Hip dysplasia treatment

Context:

  • Developmental dysplasia of the hip (DDH) often requires surgical intervention after 18 months of age.
  • The innominate osteotomy, specifically the Salter osteotomy, is a key surgical procedure for treating DDH.
  • This technique involves a complete pelvic osteotomy hinging on the symphysis pubis.

Purpose:

  • To detail the Salter innominate osteotomy technique.
  • To review the historical context and application of this specific pelvic osteotomy.
  • To highlight the factors contributing to the success of the Salter osteotomy.

Summary:

  • The Salter innominate osteotomy involves anterolateral displacement of the acetabulum, secured with a bone graft and Kirschner wires.
  • This surgical method has been utilized for over 40 years.
  • Reported outcomes demonstrate excellent short- and long-term efficacy across various global centers.

Impact:

  • The Salter osteotomy remains a valuable treatment option for developmental dysplasia of the hip.
  • Meticulous surgical technique and appropriate patient selection are crucial for achieving favorable outcomes.
  • This procedure contributes to improved hip joint function and stability in affected children.

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