baghdadi, T., bagheri, N., Khabiri, S., Kalantar, S., Nafisi, M. (2018). Comparison of clinical and radiological outcome of Salter innominate osteotomy for developmental hip dysplasia in children less than 3 years age and older. The Archives of Bone and Joint Surgery, (), -. doi: 10.22038/abjs.2017.24277.1639
taghi baghdadi; nima bagheri; Seyyed saeed Khabiri; seied hadi Kalantar; Maziar Nafisi. "Comparison of clinical and radiological outcome of Salter innominate osteotomy for developmental hip dysplasia in children less than 3 years age and older". The Archives of Bone and Joint Surgery, , , 2018, -. doi: 10.22038/abjs.2017.24277.1639
baghdadi, T., bagheri, N., Khabiri, S., Kalantar, S., Nafisi, M. (2018). 'Comparison of clinical and radiological outcome of Salter innominate osteotomy for developmental hip dysplasia in children less than 3 years age and older', The Archives of Bone and Joint Surgery, (), pp. -. doi: 10.22038/abjs.2017.24277.1639
baghdadi, T., bagheri, N., Khabiri, S., Kalantar, S., Nafisi, M. Comparison of clinical and radiological outcome of Salter innominate osteotomy for developmental hip dysplasia in children less than 3 years age and older. The Archives of Bone and Joint Surgery, 2018; (): -. doi: 10.22038/abjs.2017.24277.1639
Comparison of clinical and radiological outcome of Salter innominate osteotomy for developmental hip dysplasia in children less than 3 years age and older
2Tehran University of Medical Sciences; Joint Reconstruction Research Center
3Orthopedic resident, Department of Orthopedic Surgery, Imam-Khomeini Hospital, Tehran University of Medical Sciences
4Orthopedic surgery ward, Imam Khomeiny Hospital Complex, Tehran Universitiy of Medical Sciences, Tehran, Iran
5department of orthopedic surgery,IMAM KHOMEINI hospital complex,Tehran university of medical science , TEHRAN,IRAN
Abstract
Introduction: Developmental dysplasia of the hip (DDH) is one of the most important and challenging conditions in the field of pediatric orthopedics; if not diagnosed and treated in time, it would lead to remarkable morbidity. . Methods of treatment based on the patient's age can vary. The aim of this study is to compare the outcomes of salter osteotomy surgery in two groups of patients under and over the age of three. Material and method: In this retrospective study, medical records of patients over the past 10 years whom had innominate salter osteotomy due to non-pathological DDH. Mean follow up of all patients is 70.28 months (min = 25, max =118). Results: Overall 70 patients were finally selected, in whom 85 hips had undergone surgery. Radiological satisfaction based on modified Severin score system rate was 86% calculated in lower three years old group, while in the second group it was 85%. In clinical assessment in 82 percent of the patients in lower three years group and 82.9 percent of patients in the higher than 3 years old group were satisfactory. There was no statistically significant difference between the two groups based on Modified MacKay criteria. Conclusion: Results in both groups of patients under and over 3 years old were found satisfactory. patient satisfaction difference rate, based on clinical and radiological outcomes, was not statistically significant between two groups. It should also note that complications such as redislocation and deep infection would cause poor clinical and radiological outcomes.
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