A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage
Background and Purpose. The Salter innominate osteotomy has been an effective method to treat the developmental dysplasia of hip (DDH) over the past decades; however, several postoperative complications and deficiencies were reported. In this study, we evaluated outcome of a newly modified Salter os...
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| description | Background and Purpose. The Salter innominate osteotomy has been an effective method to treat the developmental dysplasia of hip (DDH) over the past decades; however, several postoperative complications and deficiencies were reported. In this study, we evaluated outcome of a newly modified Salter osteotomy in patients presenting with DDH. Methods. We reviewed retrospectively 76 patients (90 hips) with DDH aged ≥ 18 months, who underwent open reduction and a modified osteotomy by a single surgeon. The distal osteotomy segment of pelvis was shifted anterolaterally in the amount of osteotomy cross-section, but not downwards. The mean age at surgery was 2 years and 11 months (1.5 to 16 years). Femoral shortening was conducted when necessary. The duration of operation varied between 60 and 90 minutes. The mean follow-up was 4 years and one month (range 15 months to 7 years and 9 months). All patients were followed up both clinically (based on the modified MacKay criteria) and radiologically (based on the modified Severin criteria). Results. Clinically, 94.5% of hips had excellent and good results at final follow-up, and only 5.5% had a fair condition. Radiographically, at the final follow-up 77.8% of hips were grade IA (excellent), 12.2% were grade IB, 6.7% were grade II, and 3.3% were grade III (fair). The preoperative mean acetabular index was 47.85° (41° to 59), which decreased to 17.16° (13° to 22°) immediately after the surgery (p |
| doi_str_mv | 10.1155/2019/6021271 |
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The Salter innominate osteotomy has been an effective method to treat the developmental dysplasia of hip (DDH) over the past decades; however, several postoperative complications and deficiencies were reported. In this study, we evaluated outcome of a newly modified Salter osteotomy in patients presenting with DDH. Methods. We reviewed retrospectively 76 patients (90 hips) with DDH aged ≥ 18 months, who underwent open reduction and a modified osteotomy by a single surgeon. The distal osteotomy segment of pelvis was shifted anterolaterally in the amount of osteotomy cross-section, but not downwards. The mean age at surgery was 2 years and 11 months (1.5 to 16 years). Femoral shortening was conducted when necessary. The duration of operation varied between 60 and 90 minutes. The mean follow-up was 4 years and one month (range 15 months to 7 years and 9 months). All patients were followed up both clinically (based on the modified MacKay criteria) and radiologically (based on the modified Severin criteria). Results. Clinically, 94.5% of hips had excellent and good results at final follow-up, and only 5.5% had a fair condition. Radiographically, at the final follow-up 77.8% of hips were grade IA (excellent), 12.2% were grade IB, 6.7% were grade II, and 3.3% were grade III (fair). The preoperative mean acetabular index was 47.85° (41° to 59), which decreased to 17.16° (13° to 22°) immediately after the surgery (p<0.0001) and progressed to 11.24° (7° to 19°) at the final follow-up (p<0.0001). The mean initial postoperative center-edge angle was 30.3° (25° to 42°) significantly improved to 39.1 (31° to 56°) at the final follow-up (p<0.0001). Avascular necrosis of femoral head occurred in 4.4% of hips (4 patients). Conclusion. The results show that our modified Salter osteotomy is safe and associated with significant benefit for the management of patients suffering from DDH.</description><identifier>ISSN: 2314-6133</identifier><identifier>EISSN: 2314-6141</identifier><identifier>DOI: 10.1155/2019/6021271</identifier><identifier>PMID: 30881992</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Publishing Corporation</publisher><subject>Acetabulum ; Age ; Avascular necrosis ; Biocompatibility ; Biomedical research ; Cartilage ; Cartilage - physiopathology ; Cartilage - surgery ; Child ; Child, Preschool ; Complications ; Developmental Disabilities - physiopathology ; Developmental Disabilities - surgery ; Dysplasia ; Female ; Femur ; Femur Head - physiopathology ; Femur Head - surgery ; Hip ; Hip Dislocation - physiopathology ; Hip Dislocation - surgery ; Humans ; Infant ; Joint surgery ; Ligaments ; Male ; Necrosis ; Osteotomy ; Osteotomy - methods ; Patients ; Pediatrics ; Pelvis ; Pressure ; Pressure head ; Range of Motion, Articular - physiology ; Retrospective Studies ; Severin classification ; Software ; Surgeons ; Surgery ; Surgical implants ; Treatment Outcome</subject><ispartof>BioMed research international, 2019-01, Vol.2019 (2019), p.1-9</ispartof><rights>Copyright © 2019 Seyed Mokhtar Esmaeilnejad-Ganji et al.</rights><rights>Copyright © 2019 Seyed Mokhtar Esmaeilnejad-Ganji et al. This is an open access article distributed under the Creative Commons Attribution License (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. https://creativecommons.org/licenses/by/4.0</rights><rights>Copyright © 2019 Seyed Mokhtar Esmaeilnejad-Ganji et al. 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c471t-9a1d6aa992550bebe999e0bb2bd0d732a56524bfb9205d60196a3a836c752ae63</citedby><cites>FETCH-LOGICAL-c471t-9a1d6aa992550bebe999e0bb2bd0d732a56524bfb9205d60196a3a836c752ae63</cites><orcidid>0000-0001-7562-0835 ; 0000-0003-4152-5324 ; 0000-0003-1916-3873 ; 0000-0002-7340-0166</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381572/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381572/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53769,53771</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30881992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Korovessis, Panagiotis</contributor><contributor>Panagiotis Korovessis</contributor><creatorcontrib>Alitaleshi, Hesam</creatorcontrib><creatorcontrib>Zamani, Mohammad</creatorcontrib><creatorcontrib>Esmaeilnejad-Ganji, Seyed Mohammad Reza</creatorcontrib><creatorcontrib>Esmaeilnejad-Ganji, Seyed Mokhtar</creatorcontrib><title>A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage</title><title>BioMed research international</title><addtitle>Biomed Res Int</addtitle><description>Background and Purpose. The Salter innominate osteotomy has been an effective method to treat the developmental dysplasia of hip (DDH) over the past decades; however, several postoperative complications and deficiencies were reported. In this study, we evaluated outcome of a newly modified Salter osteotomy in patients presenting with DDH. Methods. We reviewed retrospectively 76 patients (90 hips) with DDH aged ≥ 18 months, who underwent open reduction and a modified osteotomy by a single surgeon. The distal osteotomy segment of pelvis was shifted anterolaterally in the amount of osteotomy cross-section, but not downwards. The mean age at surgery was 2 years and 11 months (1.5 to 16 years). Femoral shortening was conducted when necessary. The duration of operation varied between 60 and 90 minutes. The mean follow-up was 4 years and one month (range 15 months to 7 years and 9 months). All patients were followed up both clinically (based on the modified MacKay criteria) and radiologically (based on the modified Severin criteria). Results. Clinically, 94.5% of hips had excellent and good results at final follow-up, and only 5.5% had a fair condition. Radiographically, at the final follow-up 77.8% of hips were grade IA (excellent), 12.2% were grade IB, 6.7% were grade II, and 3.3% were grade III (fair). The preoperative mean acetabular index was 47.85° (41° to 59), which decreased to 17.16° (13° to 22°) immediately after the surgery (p<0.0001) and progressed to 11.24° (7° to 19°) at the final follow-up (p<0.0001). The mean initial postoperative center-edge angle was 30.3° (25° to 42°) significantly improved to 39.1 (31° to 56°) at the final follow-up (p<0.0001). Avascular necrosis of femoral head occurred in 4.4% of hips (4 patients). Conclusion. The results show that our modified Salter osteotomy is safe and associated with significant benefit for the management of patients suffering from DDH.</description><subject>Acetabulum</subject><subject>Age</subject><subject>Avascular necrosis</subject><subject>Biocompatibility</subject><subject>Biomedical research</subject><subject>Cartilage</subject><subject>Cartilage - physiopathology</subject><subject>Cartilage - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Complications</subject><subject>Developmental Disabilities - physiopathology</subject><subject>Developmental Disabilities - surgery</subject><subject>Dysplasia</subject><subject>Female</subject><subject>Femur</subject><subject>Femur Head - physiopathology</subject><subject>Femur Head - surgery</subject><subject>Hip</subject><subject>Hip Dislocation - physiopathology</subject><subject>Hip Dislocation - surgery</subject><subject>Humans</subject><subject>Infant</subject><subject>Joint surgery</subject><subject>Ligaments</subject><subject>Male</subject><subject>Necrosis</subject><subject>Osteotomy</subject><subject>Osteotomy - methods</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pelvis</subject><subject>Pressure</subject><subject>Pressure head</subject><subject>Range of Motion, Articular - physiology</subject><subject>Retrospective Studies</subject><subject>Severin classification</subject><subject>Software</subject><subject>Surgeons</subject><subject>Surgery</subject><subject>Surgical implants</subject><subject>Treatment Outcome</subject><issn>2314-6133</issn><issn>2314-6141</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkk1v1DAQhiMEolXpjTOyxAUJlvojceIL0mpL2UqFIrGco0k8aVwlcWo7Xe3P4h_iaJfl44QvtjXPvJ53PEnyktH3jGXZBadMXUjKGc_Zk-SUC5YuJEvZ0-NZiJPk3Pt7GlfBJFXyeXIiaFEwpfhp8mNJvuC225HPVpvGoCbfoAvoyK0PaIPtd2SDdTuYhwlJYx3ZOITQ4xCIbcglPmJnx_kKHbnc-bEDb2AOrc1INi0Ecu3J0ntbGwhRfWtCG9PqqOKRmIF8dej95JDYgVxhb10UWiNoAoOOjxkHes4kK3DBdHCHL5JnDXQezw_7WfL96uNmtV7c3H66Xi1vFnWas7BQwLQEiCazjFZYoVIKaVXxSlOdCw6ZzHhaNZXiNNMy9lGCgELIOs84oBRnyYe97jhVPeo6eoy1laMzPbhdacGUf0cG05Z39rGUomBZzqPAm4OAs7F7PpS98TV2HQxoJ19ypoRkVPA0oq__Qe_t5IZoL1IFzzgv2Cz4bk_VznrvsDkWw2g5j0M5j0N5GIeIv_rTwBH-9fkReLsHWjNo2Jr_lMPIYAO_acalUFL8BPAzyLc</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Alitaleshi, Hesam</creator><creator>Zamani, Mohammad</creator><creator>Esmaeilnejad-Ganji, Seyed Mohammad Reza</creator><creator>Esmaeilnejad-Ganji, Seyed Mokhtar</creator><general>Hindawi Publishing Corporation</general><general>Hindawi</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7QO</scope><scope>7T7</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>CWDGH</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7562-0835</orcidid><orcidid>https://orcid.org/0000-0003-4152-5324</orcidid><orcidid>https://orcid.org/0000-0003-1916-3873</orcidid><orcidid>https://orcid.org/0000-0002-7340-0166</orcidid></search><sort><creationdate>20190101</creationdate><title>A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage</title><author>Alitaleshi, Hesam ; Zamani, Mohammad ; Esmaeilnejad-Ganji, Seyed Mohammad Reza ; Esmaeilnejad-Ganji, Seyed Mokhtar</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c471t-9a1d6aa992550bebe999e0bb2bd0d732a56524bfb9205d60196a3a836c752ae63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Acetabulum</topic><topic>Age</topic><topic>Avascular necrosis</topic><topic>Biocompatibility</topic><topic>Biomedical research</topic><topic>Cartilage</topic><topic>Cartilage - physiopathology</topic><topic>Cartilage - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Complications</topic><topic>Developmental Disabilities - physiopathology</topic><topic>Developmental Disabilities - surgery</topic><topic>Dysplasia</topic><topic>Female</topic><topic>Femur</topic><topic>Femur Head - physiopathology</topic><topic>Femur Head - surgery</topic><topic>Hip</topic><topic>Hip Dislocation - physiopathology</topic><topic>Hip Dislocation - surgery</topic><topic>Humans</topic><topic>Infant</topic><topic>Joint surgery</topic><topic>Ligaments</topic><topic>Male</topic><topic>Necrosis</topic><topic>Osteotomy</topic><topic>Osteotomy - methods</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pelvis</topic><topic>Pressure</topic><topic>Pressure head</topic><topic>Range of Motion, Articular - physiology</topic><topic>Retrospective Studies</topic><topic>Severin classification</topic><topic>Software</topic><topic>Surgeons</topic><topic>Surgery</topic><topic>Surgical implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alitaleshi, Hesam</creatorcontrib><creatorcontrib>Zamani, Mohammad</creatorcontrib><creatorcontrib>Esmaeilnejad-Ganji, Seyed Mohammad Reza</creatorcontrib><creatorcontrib>Esmaeilnejad-Ganji, Seyed Mokhtar</creatorcontrib><collection>الدوريات العلمية والإحصائية - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>BioMed research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alitaleshi, Hesam</au><au>Zamani, Mohammad</au><au>Esmaeilnejad-Ganji, Seyed Mohammad Reza</au><au>Esmaeilnejad-Ganji, Seyed Mokhtar</au><au>Korovessis, Panagiotis</au><au>Panagiotis Korovessis</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage</atitle><jtitle>BioMed research international</jtitle><addtitle>Biomed Res Int</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>2019</volume><issue>2019</issue><spage>1</spage><epage>9</epage><pages>1-9</pages><issn>2314-6133</issn><eissn>2314-6141</eissn><abstract>Background and Purpose. The Salter innominate osteotomy has been an effective method to treat the developmental dysplasia of hip (DDH) over the past decades; however, several postoperative complications and deficiencies were reported. In this study, we evaluated outcome of a newly modified Salter osteotomy in patients presenting with DDH. Methods. We reviewed retrospectively 76 patients (90 hips) with DDH aged ≥ 18 months, who underwent open reduction and a modified osteotomy by a single surgeon. The distal osteotomy segment of pelvis was shifted anterolaterally in the amount of osteotomy cross-section, but not downwards. The mean age at surgery was 2 years and 11 months (1.5 to 16 years). Femoral shortening was conducted when necessary. The duration of operation varied between 60 and 90 minutes. The mean follow-up was 4 years and one month (range 15 months to 7 years and 9 months). All patients were followed up both clinically (based on the modified MacKay criteria) and radiologically (based on the modified Severin criteria). Results. Clinically, 94.5% of hips had excellent and good results at final follow-up, and only 5.5% had a fair condition. Radiographically, at the final follow-up 77.8% of hips were grade IA (excellent), 12.2% were grade IB, 6.7% were grade II, and 3.3% were grade III (fair). The preoperative mean acetabular index was 47.85° (41° to 59), which decreased to 17.16° (13° to 22°) immediately after the surgery (p<0.0001) and progressed to 11.24° (7° to 19°) at the final follow-up (p<0.0001). The mean initial postoperative center-edge angle was 30.3° (25° to 42°) significantly improved to 39.1 (31° to 56°) at the final follow-up (p<0.0001). Avascular necrosis of femoral head occurred in 4.4% of hips (4 patients). Conclusion. The results show that our modified Salter osteotomy is safe and associated with significant benefit for the management of patients suffering from DDH.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Publishing Corporation</pub><pmid>30881992</pmid><doi>10.1155/2019/6021271</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0001-7562-0835</orcidid><orcidid>https://orcid.org/0000-0003-4152-5324</orcidid><orcidid>https://orcid.org/0000-0003-1916-3873</orcidid><orcidid>https://orcid.org/0000-0002-7340-0166</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | BioMed research international, 2019-01, Vol.2019 (2019), p.1-9 |
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| language | eng |
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| source | MEDLINE; PubMed Central Open Access; Wiley-Blackwell Open Access Titles; PubMed Central; Alma/SFX Local Collection |
| subjects | Acetabulum Age Avascular necrosis Biocompatibility Biomedical research Cartilage Cartilage - physiopathology Cartilage - surgery Child Child, Preschool Complications Developmental Disabilities - physiopathology Developmental Disabilities - surgery Dysplasia Female Femur Femur Head - physiopathology Femur Head - surgery Hip Hip Dislocation - physiopathology Hip Dislocation - surgery Humans Infant Joint surgery Ligaments Male Necrosis Osteotomy Osteotomy - methods Patients Pediatrics Pelvis Pressure Pressure head Range of Motion, Articular - physiology Retrospective Studies Severin classification Software Surgeons Surgery Surgical implants Treatment Outcome |
| title | A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-26T23%3A06%3A42IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20Newly%20Modified%20Salter%20Osteotomy%20Technique%20for%20Treatment%20of%20Developmental%20Dysplasia%20of%20Hip%20That%20Is%20Associated%20with%20Decrease%20in%20Pressure%20on%20Femoral%20Head%20and%20Triradiate%20Cartilage&rft.jtitle=BioMed%20research%20international&rft.au=Alitaleshi,%20Hesam&rft.date=2019-01-01&rft.volume=2019&rft.issue=2019&rft.spage=1&rft.epage=9&rft.pages=1-9&rft.issn=2314-6133&rft.eissn=2314-6141&rft_id=info:doi/10.1155/2019/6021271&rft_dat=%3Cproquest_pubme%3E2193610324%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2182522812&rft_id=info:pmid/30881992&rfr_iscdi=true |