Sun Qingzeng,Shi Yingchun..Longterm results of singlestage surgical treatment with Salter innominate osteotomy in developmental dysplasia of both hips.[J].Journal of Clinical Pediatric Surgery,,17():126-130.
Longterm results of singlestage surgical treatment with Salter innominate osteotomy in developmental dysplasia of both hips.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 02
Page:
126-130
Column:
论著
Date of publication:
2018-02-28
- Keywords:
- Hip Joint/GD; Dislocations; Pelvis; Osteotomy; Treatment Outcome
- Document code:
- A
- Abstract:
- ObjectiveTo evaluate the longterm efficacy of bilateral Salter osteotomies for developmental dysplasia of bilateral hips.MethodsThis study retrospectively compared the clinical and radiological outcomes of patients with bilateral developmental dysplasia of the hip who underwent either a singlestage operation with Salter innominate osteotomy or a twostage procedure comprising consecutive operations.Extensive preand postoperative clinical,surgical and radiological examinations were undertaken.Results17 cases(34 hips,study cases) with developmental dysplasia of bilateral hips were observed,who were treated with bilateral Salter ostotomies,another 18 patients(36 hips) underwent consecutive operations were served as controls.The mean followup was 9.5(8.1-10.4) years.There were no significance between two groups in acetabular index or centreedge angle correction.The excellent to good rate for Severin classification and modified McKay criteria were88.24%、91.18% respectively in study cases,while 94.45%,88.89%in control group.The incidence of avascular necrosis of the femoral head were 11.76%and 13.89% respectively in study cases and control cases.Differences in main variables were not found to be significantly different between two groups.ConclusionBilateral Salter osteotomies can provide satisfied effect similar to consecutive Salter osteotomy,and bilateral dysplasia treated with onestage Salter osteotomies could be safe and effective.
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