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

Détails

ID Serval
serval:BIB_41D497061D8C
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Ostéotomie innominée de Salter 20 ans après...[Salter's innominate osteotomy. 20 years later...]
Périodique
Chirurgie Pédiatrique
Auteur(s)
Dutoit M., Moulin P., Morscher E.
ISSN
0180-5738 (Print)
Statut éditorial
Publié
Date de publication
1989
Volume
30
Numéro
6
Pages
277-83
Notes
English Abstract Journal Article
Résumé
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.
Mots-clé
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
Création de la notice
28/01/2008 13:14
Dernière modification de la notice
03/03/2018 16:34
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