Postoperative Evaluation of Salter's Tnnominate Osteotomy.

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We evaluated 22 Salter's innominate osteotomies performed in 21 patients for treatment of residual subluxation and acetabular dysplasia after primary reduction of congenital hip dislocation. We only performed Salter's innominate osteotomy in 18 hips and additionally performed femoral osteotomy in 4 hips.The average age at surgery was 5.1±1.5 years, the average age at evaluation was 10.3±2.1 years and the average duration of follow-up was 5.1±1.6 years. We evaluated radiographic results using Severin's classification. Of the 22 hips, 18 achieved good results (82%) but 4 had poor results (18%). The mean center edge angle and acetabular head index at follow-up in the group with good results was statistically larger than that of the poorer group. Therefore Salter's innominate osteotomy was an effective surgical procedure for treatment of residual subluxation and acetabular dysplasia.
西日本整形・災害外科学会の論文