Fatih INCI, Guven BULUT, Seyit Ali GÜMÜSTAS

2810

The effect of patient’s age on the outcomes of Salter pelvic osteotomy

Objective: We hypothesized that as the patient’s age increases, the outcomes of Salter pelvic osteotomy (SPO) get worse. This study aims to compare the results of surgery in developmental dysplasia of the hip (DDH) with at which age SPO is performed. Patients and Materials: Forthy six hips of 36 patients with at least 1 year of regular radiological and clinical follow-up were included in this study. The patients were retrospectively divided into three groups, group I for ages between 18 months and 4 years, group II for ages between 4 and 6 years, and group III for ages over 6 years. The clinical and radiological results of the patients were compared between groups. Results: At the time of surgery, the mean age of patients was 4.51 years (18 months-11 years). After a mean follow-up of 72.7 months; although there was no statistically significant difference between groups according to Severin’s radiological criteria, it was observed that the success of the clinical outcome decreased and the avascular necrosis (AVN) rates increased in children who were operated after the age of 6 years. Conclusions: Although, SPO was an effective treatment option for patients with DDH after the age of walking, it might cause a decrease in the success of clinical outcomes and an increase in AVN after 6 years of age.
Keywords:

Developmental hip dysplasia, Surgical treatment Avascular necrosis, Patient age, Salter pelvic osteotomy,

PDF

___

  • “Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop Relat Res 1987;225:62- 76.
  • “Wirth T, Stratmann L, Hinrichs F. Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening. J Bone Joint Surg Br 2004;86:585-9.
  • “Biedermann R, Eastwood DM. Universal or selective ultrasound screening for developmental dysplasia of the hip? A discussion of the key issues. J Child Orthop 2018;12:296- 301. doi : 10.1302/1863-2548.12.180063
  • “Murphy R F, Kim YJ. Surgical management of pediatric developmental dysplasia of the hip. J Am Acad of Orthop Surg 2016; 24:615–24. doi:10.5435/jaaos-d-15-00154
  • “Salter RB, Dubos JP. The first fifteen years’ personal experience with innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. Clin Orthop Relat Res 1974; 98: 72-103. doi: 10.1097/00003.086.197401000-00009.
  • “Herring JA, Sucato DJ. Developmental dysplasia of the hip. In:Herring JA, ed. Tachdjian’s Pediatric Orthopaedics. 4th ed. Philadelphia: Saunders Elsevier, 2008:677.
  • “Rachbauer F, Kain MS, Leunig M. The history of the anterior approach to the hip. Orthop Clin North Am 2009;40:311-20.
  • “Kitoh H, Kaneko H, Ishiguro N. Radiographic analysis of movements of the acetabulum and the femoral head after Salter innominate osteotomy. J Pediatr Orthop 2009;29:879- 84. doi:10.1097/bpo.0b013e3181c1e314
  • “Severin E. Contribution to knowledge of congenital dislocation of hip joint: late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 1941; 84 (Suppl 63): 1-142.
  • “Mckay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin Orthop Relat Res 1974; 98: 124- 132. doi: 10.1097/00003.086.197401000-00013.
  • “Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: a clinical and experimental investigation. Can J Surg 1969; 12: 44-61.
  • “Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1980; 62: 876-88.
  • “Köroğlu C, Özdemir E, Çolak M, Şensöz E, Öztuna FV. Open reduction and Salter innominate osteotomy combined with femoral osteotomy in the treatment of developmental dysplasia of the hip: Comparison of results before and after the age of 4 years. Acta Orthop Traumatol Turc 2021;55:28-32. doi: 10.5152/j.aott.2021.17385.
  • “Abdullah ES, Razzak MY, Hussein HT, El-Adwar KL, Abdel- Razek Youssef A. Evaluation of the results of operative treatment of hip dysplasia in children after the walking age. Alexandria J Med 2012;48:115-22
  • “Erturk C, Altay MA, Yarimpapuc R, Koruk I, Isikan UE. One-stage treatment of developmental dysplasia of the hip in untreated children from two to five years old A comparative study. Acta Orthop Belg 2011;77:464-71.
  • “Barrett WP, Staheli LT, Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1986;68:79-87. doi: 10.2106/00004.623.198668010-00010.
  • “Gülman B, Tuncay IC, Dabak N, Karaismailoglu N. Salter’s innominate osteotomy in the treatment of congenital hip dislocation: A long term review. J Pediatr Orthop 1994; 14: 662-6. doi: 10.1097/01241.398.199409000-00021.
  • “Vengust R, Antolic V, Srakar F. Salter osteotomy for treatment of acetabular dysplasia in developmental dysplasia of the hip in patients under 10 years. J Pediatr Orthop B 2001;10:30-6.
  • “Utterback TD, MacEwen GD. Comparison of pelvic osteotomies for the surgical correction of the congenital hip. Clin Orthop Relat Res 1974;98:104-10. doi: 10.1097/00003.086.197401000-00010.
Marmara Medical Journal-Cover
  • ISSN: 1019-1941
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1988
  • Yayıncı: Marmara Üniversitesi
Arşiv
Sayıdaki Diğer Makaleler

Buket ERTURK SENGEL, Serra OZEL, Fethi GUL, Can ILGIN, Elif TUKENMEZ TIGEN, Luftiye Nilsun ALTUNAL, Feyyaz KABADAYI, Uluhan SILI, Mehtap AYDIN, Zekaver ODABASI, Ismail CINEL, Volkan KORTEN

Melekber CAVUS OZKAN, Zeliha Leyla CINEL

Gülsen ALTINKANAT GELMEZ, Barış CAN, Buket ERTURK SENGEL, Volkan KORTEN, Güner SOYLETIR

Mehmet TAHTABASI, Mehmet KOLU

Merve KURNAZ AY, Tasnim Musa SULAIMAN, Nefise GARABLI, Yusuf ACAR, Ihsan UZUNOGLU, Mehmet AKKUS, Ahmet TOPUZOGLU

Ali ZEYBEK, Mazhar OZKAN, Meltem ALPAY

Nurdan SENTURK DURMUS, Arzu VELIOGLU, Hakki ARIKAN, Ebru ASICIOGLU, Cumhur YEGEN, Serhan TUGLULAR

Ayse NUMANOGLU AKBAS, Ozge CANKAYA, Kubra SEYHAN BIYIK, Sefa UNES, Merve TUNCDEMIR, Umut Ece ARSLAN, Lutfiye Hilal OZCEBE, Mintaze KEREM GUNEL

Sadik TASER, Ruhusen KUTLU, Nazan KARAOGLU

Nurten ANDAC BALTACIOGLU, Canan SANAL TOPRAK, Efe SOYDEMIR, Mehmet Mithat DOKUR