Salter innominate osteotomy or Pemberton pericapsular osteotomy in treatment of developmental dysplasia of hip
We aimed to compare the clinical and radiological results of the Salter innominate osteotomy (SIO) and Pemberton pericapsular osteotomy (PPO) in children with bilateral developmental hip dysplasia who had undergone PPO for 1 side and SIO for the other side in a 1-stage operation. Materials and methods: Children with bilateral hip dysplasia who had undergone PPO for 1 side and SIO for the other side in a 1-stage operation were included in this study, and 126 hips of 63 patients were evaluated. Clinical and radiological results were evaluated and compared using the Sutherland Pain Scale, Modified McKay Grading System, and Trevor Clinical Scoring System. Results: PPO had statistically significantly better femoral head covering than SIO (P < 0.05). SIO resulted in better outcomes with respect to range of motion, cervico-diaphyseal angle, and Sharp angle, but the difference between the 2 techniques was not statistically significant (P > 0.05). Conclusion: PPO had better outcomes and a lower complication rate than SIO in the treatment of bilateral congenital dysplasia of the hip.
Salter innominate osteotomy or Pemberton pericapsular osteotomy in treatment of developmental dysplasia of hip
We aimed to compare the clinical and radiological results of the Salter innominate osteotomy (SIO) and Pemberton pericapsular osteotomy (PPO) in children with bilateral developmental hip dysplasia who had undergone PPO for 1 side and SIO for the other side in a 1-stage operation. Materials and methods: Children with bilateral hip dysplasia who had undergone PPO for 1 side and SIO for the other side in a 1-stage operation were included in this study, and 126 hips of 63 patients were evaluated. Clinical and radiological results were evaluated and compared using the Sutherland Pain Scale, Modified McKay Grading System, and Trevor Clinical Scoring System. Results: PPO had statistically significantly better femoral head covering than SIO (P < 0.05). SIO resulted in better outcomes with respect to range of motion, cervico-diaphyseal angle, and Sharp angle, but the difference between the 2 techniques was not statistically significant (P > 0.05). Conclusion: PPO had better outcomes and a lower complication rate than SIO in the treatment of bilateral congenital dysplasia of the hip.
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- Salter RB. Innominate osteotomy in the treatment of congenital hip dislocation and subluxation of the hip. J Bone Joint Surg [Br] 1961; 43: 518-39. Pemberton PA. Pericapsular osteotomy of the ilium for the treatment of congenitally dislocated hips. Clin Orthop 1974; 98: 41-54.
- Zorer G, Sürel YB, Savran K. DKÇ tedavisinde Salter ve Pemberton ameliyatlarının asetabular deformasyonu düzeltme etkinliklerinin karşılaştırılması. Proceedings of the 13th National Turkish Orthopedics and Traumatology Congress. Ankara: T.H.K. Basımevi; 1994. p.374-77 (in Turkish). 4. Ochoa O, Seringe R, Soudrie B, Zeller R. Salter’s single stage bilateral pelvic osteotomy Rev. Chir Orthop Reparatrice Appar Mot 1991; 77: 412-8. 5. Kessler JI, Stevens PM, Smith JT, Carroll KL. Use of allograft s in Pemberton osteotomies. J Pediatr Orthop 2001; 21: 468-73.
- Zorer G, Bagatur AE. Single-stage bilateral Pemberton’s pericapsular osteotomy in bilateral developmental dysplasia of the hip. Acta Orthop Traum Turc 2002; 36: 288-94.
- Zamzam MM, Khosshal KI, Abak AA. One-stage bilateral open reduction through a medial approach in developmental dysplasia of the hip. J Bone Joint Surg Br 2009; 91: 113-8.
- Bagatur AE, Zorer G, Sürel YB Is suffi cient femoral head coverage obtained aft er Pemberton’s pericapsular osteotomy? Evaluation by three-dimensional computed tomographic reconstruction. Acta Orthop Traum Turc 2002; 36: 203-10.
- Barrett WP, Staheli LT, Chew DE. Th e eff ectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg [Am] 1986; 68: 79-87.
- 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.
- Bohm P, Brzuske A. Salter innominate osteotomy for the treatment of developmental dysplasia of the hip in children: results of seventy-three consecutive osteotomies aft er twenty- six to thirty-fi ve years of follow-up. J Bone Joint Surg [Am] 2002; 84: 178-86.
- Karakurt L, Yılmaz E, İncesu M, Belhan O, Serin E. Early results of treatment for developmental dysplasia of the hip in children between the ages of one and four years. Acta Orthop Traumatol Turc 2004; 38: 8-15.
- Gulman 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.
- Morin C, Rabay G, Morel G. Retrospective review at skeletal maturity of the factors aff ecting the effi cacy of Salter’s innominate osteotomy in congenital dislocated, subluxed, and dysplastic hips. J Pediatr Orthop 1998; 18: 246-53.
- Faciszewski T, Kiefer GN, Coleman SS. Pemberton osteotomy for residual acetabular dysplasia in children who have congenital dislocation of the hip. J Bone Joint Surg [Am] 1993; 75: 643-9.
- Olney B, Latz K, Asher M. Treatment of hip dysplasia in older children with a combined one-stage procedure. Clin Orthop Relat Res 1998; 347: 215-23.
- Szepesi K, Rigo J, Biro B, Fazekas K, Poti L. Pemberton’s pericapsular osteotomy for the treatment of acetabular dysplasia. J Pediatr Orthop B 1996; 5: 252-8.
- Wada A, Fujii T, Takamura K, Yanagida H, Taketa M, Nakamura T. Pemberton osteotomy for developmental dysplasia of the hip in older children. J Pediatr Orthop 2003; 23: 508-13.
- Beaty JH. Congenital abnormalities of lower limb. In: Canale ST, editor. Campbell’s Operative Orthopaedics, Vol. 2. 10th ed. St. Louis: Mosby; 2007. p.1042-69.