Although there are many methods for the treatment of developmental dysplasia of the hip, Salter innominate osteotomy is a surgical technique presently used successfully worldwide. However, several complications can be found after Salter innominate osteotomy. Kirschner (K) wire migration into the pelvic cavity is not a common occurrence and is also rarely reported in the literature. Here, we report the case of a patient who was admitted to the emergency department of our hospital with acute abdominal pain because of K wire migration into the pelvis. We recommend bending the proximal end of the K wires or using threaded K wires to prevent this complication.
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Long-Term Results After Salter Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip-Only 8% Rate of Total Hip Arthroplasty at a Median Follow-Up of 22 Years.
Children (Basel)
December 2024
Department of Orthopedics, Radboud University Medical Center, 6525 GA Nijmegen, The Netherlands.
Background/objectives: The redirection or reshaping of the acetabulum might be warranted to attain a concentric and stable hip in children with developmental dysplasia of the hip (DDH). The aim of this study is to assess the late clinical and radiological results, and to determine the number of patients requiring secondary surgery or a total hip arthroplasty at a long-term follow-up.
Methods: Our institution performed 99 Salter osteotomies on 76 patients without underlying neuromuscular conditions over a 21-year period, from 1981 to 2002.
Comparison of treatment methods in patients with developmental dysplasia of the hip.
Turk J Med Sci
October 2024
Department of Orthopedics and Traumatology, Ankara Dışkapı Yıldırım Beyazıt Training and Research Hospital, University of Health Sciences, Ankara, Turkiye.
Article Synopsis
- The study aimed to compare the effectiveness of four surgical techniques—Pemberton osteotomy (PO), Salter innominate osteotomy (SO), open reduction (OR), and closed reduction (CR)—for treating developmental dysplasia of the hip (DDH) in 101 hips across 82 patients from 2017 to 2023.
- Results indicated that PO provided the best corrections in acetabular angles and had a lower incidence of avascular necrosis (AVN) compared to other methods, although some AVN still occurred across all treated groups.
- The study concludes that accurate age-related acetabular measurements are crucial for treatment decisions, and early detection allows for effective conservative
Clinical outcomes of gradual reduction of late-detected developmental dysplasia of the hip using ultrasound-guided flexion abduction continuous traction: a midterm follow up study.
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Department of Paediatric Orthopaedics, Shiga Medical Center for Children, Moriyama-city, Shiga Pref.
Reducing the avascular necrosis (AVN) rate in infants treated for developmental dysplasia of the hip (DDH) is important. We previously reported the clinical outcomes of gradual reduction via ultrasound-guided flexion abduction continuous traction (FACT-R), which achieved a 99% reduction with an AVN rate of 1.0% in infants <12 months.
View Article and Find Full Text PDFInnominate artery pseudoaneurysm from a Salter-Harris fracture of the sternoclavicular joint.
J Vasc Surg Cases Innov Tech
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Division of Vascular and Endovascular Surgery, University of Massachusetts Chan Medical School, Worcester, MA.
Fractures and dislocations of the sternoclavicular joint (SCJ) are uncommon, accounting for <5% of all shoulder girdle injuries. They are relatively more common in the pediatric population than in the adult population and can often present concurrently as a posteriorly displaced medial clavicular dislocation with a fracture through the unfused physis. It is especially important to recognize this injury, because its management and potential sequelae are very different from those for fractures of the clavicle shaft.
View Article and Find Full Text PDFIntrapelvic Kirschner wire Migration following Developmental Dysplasia of Hip Surgery and Laparoscopic Removal.
Pak J Med Sci
January 2023
Mumtaz Hussain, HOD & Assistant Professor of Paediatric Orthopaedic Surgery, The Children's Hospital & University of Child Health Sciences, Lahore, Pakistan.
Salter innominate osteotomy remains the most commonly performed pelvic osteotomy for the Developmental Dysplasia of Hip in children after 18 months of age up to six years. Kirschner wire (K- wire) is used to fix the bone graft across the osteotomy site. Of the several complications of the pelvic osteotomy, K- wire migration into the pelvis is rare and only a few case reports are reported.
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