Journal Issue: No 1, Issue 9, JAN-MAR, 2005
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Volume
Number
Issue Date
2005
Journal Title
Journal ISSN
1812-2027
Journal Volume
Articles
Results of simultaneous open reduction and Salter innominate osteotomy for developmental dysplasia of the hip
(Kathmandu University, 2005) AK, Banskota; B, Paudel; I, Pradhan; B, Bijukachhe; R, Vaidya; T, Rajbhandary
Objectives: To assess the results of simultaneous open reduction and Salter Innominate Osteotomy for
developmental dysplasia of the hip in our context where there is a tendency for these cases to present late
without having undergone any treatment previously. Material and Method: We retrospectively reviewed the
record files and radiographs of 22 dislocated hips of 20 patients managed with simultaneous open reduction and
Salter osteotomy at Hospital and Rehabilitation Centre for Disabled Children from 1999 to 2001. Only eight
patients with 9 hips with purely developmental dysplasia of hip aged one to seven years were included. The
acetabular index on the initial and final radiographs was measured. The neck shaft angle was also measured. All
radiographs were evaluated to determine the presence of avascular necrosis of the femoral head and position of
the head after the operation. Clinical results were determined using modification of the McKay criteria ( Pain,
ROM, LLD, Containtment and Gait) . Follow–up ranged from a minimum of 1 year to a maximum of 5 years
(average 3 years and 1 month). Results: The results were excellent in 7 hips (77.77%) good in 1 hip (11.11%)
and poor in 1 hip (11.11%) according to modified McKay criteria.. No complications related to infection, graft
fracture, vascular or neural injury were encountered. Conclusion: When case selection for surgical treatment is
appropriate, a reasonable excellent to good result can be expected even in cases such as ours which present late.
Key Words: Developmental Dysplasia of Hip, Open Reduction, Salter Osteotomy