A cross-sectional study evaluating patients' preferences for Salter innominate osteotomy

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Preventive Medicine

Background:

• Salter innominate osteotomy is used to treat hip dysplasia in children to prevent osteoarthritis.
• Preventive surgery requires careful consideration of patient opinions to avoid overtreatment.

Purpose of the Study:

• To determine adult patients' opinions on Salter innominate osteotomy as preventive surgery for children.
• To explore the reasons behind their recommendations regarding this procedure.

Main Methods:

• A mail-in questionnaire survey was sent to 77 patients who had periacetabular osteotomy.
• Patients were asked to recommend or not recommend Salter innominate osteotomy for children and provide reasons.
• Patient-based evaluations and clinical outcomes were assessed using specific questionnaires and scores.

Main Results:

• Of 43 respondents, 23% recommended the surgery, 65% did not, and 12% were undecided.
• No significant association was found between opinions and demographic or clinical characteristics.
• The main reason for not recommending the procedure was uncertainty about future hip pain.

Conclusions:

• A majority (65%) of adult patients who underwent hip surgery do not recommend Salter innominate osteotomy for children at risk of future dysplasia.
• Patient preferences for preventive surgery were not influenced by their demographic or clinical profiles.