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Simultaneous open reduction and Salter innominate osteotomy for developmental dysplasia of the hip
R K Haidar1, R S Jones, D A Vergroesen
1Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, England.
Insights
This study evaluated open reduction and Salter innominate osteotomy for developmental hip dysplasia in children. The procedure showed excellent long-term clinical and radiological outcomes, with low rates of avascular necrosis and no recurrent dislocations.
Area of Science:
- Pediatric Orthopedics
- Skeletal Dysplasias
- Surgical Outcomes
Background:
- Developmental hip dysplasia requires effective surgical intervention for optimal long-term function.
- Open reduction and Salter innominate osteotomy are established techniques for treating hip dysplasia.
Purpose of the Study:
- To assess the long-term clinical and radiological outcomes of simultaneous open reduction and Salter innominate osteotomy in children with developmental hip dysplasia.
Main Methods:
- Retrospective study of 37 hips in 36 children.
- Average follow-up of 91 months post-surgery.
- Evaluation of clinical and radiological results, including complications like avascular necrosis and recurrent dislocations.
Main Results:
- 97.3% of hips showed good or excellent clinical outcomes.
- 83.8% of hips demonstrated good or excellent radiological results.
- Avascular necrosis was observed in 8% of hips, with only one symptomatic case. No recurrent posterior displacements occurred.
Conclusions:
- Simultaneous open reduction and Salter innominate osteotomy provide durable and effective treatment for developmental hip dysplasia in children.
- The procedure is associated with high rates of successful clinical and radiological recovery.
- Complications are infrequent, making it a reliable surgical option.
Abstract:
We have studied retrospectively 37 hips in 36 children at an average of 91 months after simultaneous open reduction and Salter innominate osteotomy for developmental hip dysplasia. At the latest review 97.3% were clinically and 83.8% radiologically good or excellent. In three hips (8%) there were signs of avascular necrosis, but only one had been symptomatic. There were no cases of recurrent posterior displacement.