Ostéotomie innominée de Salter 20 ans après...[Salter's innominate osteotomy. 20 years later...]

Details

Serval ID
serval:BIB_41D497061D8C
Type
Article: article from journal or magazin.
Collection
Publications
Title
Ostéotomie innominée de Salter 20 ans après...[Salter's innominate osteotomy. 20 years later...]
Journal
Chirurgie Pédiatrique
Author(s)
Dutoit M., Moulin P., Morscher E.
ISSN
0180-5738 (Print)
Publication state
Published
Issued date
1989
Volume
30
Number
6
Pages
277-83
Notes
English Abstract Journal Article
Abstract
This is a retrospective review of nineteen innominate osteotomies with an average follow-up of 20, 6 years. These osteotomies were done mainly for treatment of late diagnosed congenital hip dislocation, or occasionally for persistent subluxation after orthopaedic treatment. The mean age at diagnosis was 2 years 2 months, at operation 3 years 5 months. We performed eight combined open reduction and pelvic osteotomies, eight associated pelvic and femoral varisation derotation osteotomies and only 3 isolated pelvic osteotomies. At follow-up the Charnley hip's score is 5.7 for pain; 5.4 for gait and performance, 5.6 for mobility. We found 15 hips without any significant pain and only 4 hips with mechanical pain. The Xray evaluation shows an average CE angle at 28.5 degrees, AC angle at 16 degrees and anterior coverage on "faux profil de Lequesne" at 40 degrees; 4 hips show arthritic changes, 4 others had important deformation of the head of the femur, but without diminution of the height of articular space. 6 hips (1/3) in 4 patients must be reoperated in adolescence because insufficiency of coverage of the head of the femur: 3 because technical errors and 3 because osteonecrosis with progressive cervicocephalic valgus. This historical serie with a very important follow-up, demonstrate that between 1/3 and 1/2 of cases have some kind of problems mainly radiological. The quality of results depends on the respect of the conditions and technique described by Salter, early diagnosis and absence of osteonecrosis eventually caused by prealable orthopaedic treatment.
Keywords
Activities of Daily Living Child, Preschool Female Follow-Up Studies Gait Hip Dislocation, Congenital/physiopathology/radiography/*surgery Humans Male Osteotomy/adverse effects/methods/*standards Postoperative Complications/classification/etiology/*radiography Reoperation Retrospective Studies
Pubmed
Web of science
Create date
28/01/2008 13:14
Last modification date
20/08/2019 14:42
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