Document Detail

Does Salter innominate osteotomy with transiliac lengthening effect triradiate cartilage or cause posterior coverage insufficiency?
MedLine Citation:
PMID:  19621232     Owner:  NLM     Status:  In-Process    
INTRODUCTION: To treat neglected developmental dysplasia of the hip (DDH), we performed Salter innominate osteotomy with a modification of transiliac lengthening. We asked whether this modified technique caused posterior coverage problems and triradiate cartilage injury. METHODS: We retrospectively reviewed 45 patients with unilateral DDH treated by open reduction and femoral shortening and modified Salter innominate osteotomy. The age at operation was 38.44 +/- 19.79 months (mean +/- standard deviation). Minimum follow-up was 24 months (mean +/- standard deviation 49.84 +/- 27.73 months; range 24-112 months). We measured the tilt of the iliac bone (difference of preoperative and postoperative acetabular index values). We divided the hips into two groups. There were 29 hips in Group 1 (deviation amount <20 degrees ) and 16 hips in Group 2 (deviation amount > or =20 degrees ). At the latest follow-up, frontal and axial plane computed tomographic analyses were performed. We measured medial wall thickness, teardrop width, and hemipelvis heights to evaluate triradiate cartilage intactness indirectly. Posterior center edge angle, which reflects posterior coverage of the hip, was also measured. RESULTS: We found no differences between groups regarding all measured parameters. CONCLUSIONS: Modified Salter osteotomy with transiliac lengthening can be performed safely in the treatment of neglected DDH.
Hasan Hilmi Muratli; Halil Yalçin Yüksel; Ertuğrul Akşahin; Onur Hapa; Tuğrul Günal; Levent Celebi
Publication Detail:
Type:  Journal Article     Date:  2009-07-21
Journal Detail:
Title:  Archives of orthopaedic and trauma surgery     Volume:  129     ISSN:  1434-3916     ISO Abbreviation:  Arch Orthop Trauma Surg     Publication Date:  2009 Dec 
Date Detail:
Created Date:  2009-11-09     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9011043     Medline TA:  Arch Orthop Trauma Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1607-11     Citation Subset:  IM    
Department of Orthopaedics and Traumatology, Faculty of Medicine, Trakya University, Edirne, Turkey.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  The effect of platelet-rich plasma gel in the early phase of patellar tendon healing.
Next Document:  Ocular counterrolling: an indicator of bilateral vestibulopathy.