MODIFIED SALTER PELVIC OSTEOTOMY FOR THE DDH TREATMENT.

Acta Ortop Bras

SI -The Institute of Traumatology and Orthopedics by NAMS of Ukraine, Department of Reconstructive Orthopedics and Traumatology in Children and Adolescents, Kyiv, Ukraine.

Published: April 2023

Objectives: Three pelvic osteotomies (Salter, Dega, Pemberton) are widely used in walking patients under seven years old for DDH treatment. We've proposed a modified Salter Pelvic Osteotomy (SPO), which has the advantages of the abovementioned osteotomies.

Methods: Short- and mid-term results were assessed in 19 patients after the modified SPO application. Patients were examined before and after the surgery, at 6 months postoperatively, and at follow-up.

Results: Acetabular Index (AI) before the surgery was 39.5 ± 7 °; after the surgery - 24.4 ± 5.5 °, at 6 months - 20.4 ± 5 ° (9-28), at follow-up - 14.5 ± 4 °; AI correction - 14.9 ± 5.5 °. Lateral Centre-Edge Angle at follow-up - 22.7 ± 4.7 °. Clinical results at follow-up were I / II McKay grade in 18 patients (94.7%); radiological results were I / II Severin class in 18 patients (94.7%).

Conclusion: Modified SPO improves the FH coverage in any direction; results after modified SPO are excellent and good in most patients. .

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10112343PMC
http://dx.doi.org/10.1590/1413-785220233101e259040DOI Listing

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