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The effect of patient’s age on the outcomes of Salter pelvic osteotomy

Year 2021, Volume: 34 Issue: 2, 175 - 179, 31.05.2021
https://doi.org/10.5472/marumj.945174

Abstract

Objective: We hypothesized that as the patient’s age increases, the outcomes of Salter pelvic osteotomy (SPO) get worse. This study
aims to compare the results of surgery in developmental dysplasia of the hip (DDH) with at which age SPO is performed.
Patients and Materials: Forthy six hips of 36 patients with at least 1 year of regular radiological and clinical follow-up were included
in this study. The patients were retrospectively divided into three groups, group I for ages between 18 months and 4 years, group II
for ages between 4 and 6 years, and group III for ages over 6 years. The clinical and radiological results of the patients were compared
between groups.
Results: At the time of surgery, the mean age of patients was 4.51 years (18 months-11 years). After a mean follow-up of 72.7 months;
although there was no statistically significant difference between groups according to Severin’s radiological criteria, it was observed
that the success of the clinical outcome decreased and the avascular necrosis (AVN) rates increased in children who were operated
after the age of 6 years.
Conclusions: Although, SPO was an effective treatment option for patients with DDH after the age of walking, it might cause a
decrease in the success of clinical outcomes and an increase in AVN after 6 years of age.

References

  • “Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop Relat Res 1987;225:62- 76.
  • “Wirth T, Stratmann L, Hinrichs F. Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening. J Bone Joint Surg Br 2004;86:585-9.
  • “Biedermann R, Eastwood DM. Universal or selective ultrasound screening for developmental dysplasia of the hip? A discussion of the key issues. J Child Orthop 2018;12:296- 301. doi : 10.1302/1863-2548.12.180063
  • “Murphy R F, Kim YJ. Surgical management of pediatric developmental dysplasia of the hip. J Am Acad of Orthop Surg 2016; 24:615–24. doi:10.5435/jaaos-d-15-00154
  • “Salter RB, Dubos JP. The first fifteen years’ personal experience with innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. Clin Orthop Relat Res 1974; 98: 72-103. doi: 10.1097/00003.086.197401000-00009.
  • “Herring JA, Sucato DJ. Developmental dysplasia of the hip. In:Herring JA, ed. Tachdjian’s Pediatric Orthopaedics. 4th ed. Philadelphia: Saunders Elsevier, 2008:677.
  • “Rachbauer F, Kain MS, Leunig M. The history of the anterior approach to the hip. Orthop Clin North Am 2009;40:311-20.
  • “Kitoh H, Kaneko H, Ishiguro N. Radiographic analysis of movements of the acetabulum and the femoral head after Salter innominate osteotomy. J Pediatr Orthop 2009;29:879- 84. doi:10.1097/bpo.0b013e3181c1e314
  • “Severin E. Contribution to knowledge of congenital dislocation of hip joint: late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 1941; 84 (Suppl 63): 1-142.
  • “Mckay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin Orthop Relat Res 1974; 98: 124- 132. doi: 10.1097/00003.086.197401000-00013.
  • “Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: a clinical and experimental investigation. Can J Surg 1969; 12: 44-61.
  • “Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1980; 62: 876-88.
  • “Köroğlu C, Özdemir E, Çolak M, Şensöz E, Öztuna FV. Open reduction and Salter innominate osteotomy combined with femoral osteotomy in the treatment of developmental dysplasia of the hip: Comparison of results before and after the age of 4 years. Acta Orthop Traumatol Turc 2021;55:28-32. doi: 10.5152/j.aott.2021.17385.
  • “Abdullah ES, Razzak MY, Hussein HT, El-Adwar KL, Abdel- Razek Youssef A. Evaluation of the results of operative treatment of hip dysplasia in children after the walking age. Alexandria J Med 2012;48:115-22
  • “Erturk C, Altay MA, Yarimpapuc R, Koruk I, Isikan UE. One-stage treatment of developmental dysplasia of the hip in untreated children from two to five years old A comparative study. Acta Orthop Belg 2011;77:464-71.
  • “Barrett WP, Staheli LT, Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1986;68:79-87. doi: 10.2106/00004.623.198668010-00010.
  • “Gülman B, Tuncay IC, Dabak N, Karaismailoglu N. Salter’s innominate osteotomy in the treatment of congenital hip dislocation: A long term review. J Pediatr Orthop 1994; 14: 662-6. doi: 10.1097/01241.398.199409000-00021.
  • “Vengust R, Antolic V, Srakar F. Salter osteotomy for treatment of acetabular dysplasia in developmental dysplasia of the hip in patients under 10 years. J Pediatr Orthop B 2001;10:30-6.
  • “Utterback TD, MacEwen GD. Comparison of pelvic osteotomies for the surgical correction of the congenital hip. Clin Orthop Relat Res 1974;98:104-10. doi: 10.1097/00003.086.197401000-00010.
Year 2021, Volume: 34 Issue: 2, 175 - 179, 31.05.2021
https://doi.org/10.5472/marumj.945174

Abstract

References

  • “Weinstein SL. Natural history of congenital hip dislocation (CDH) and hip dysplasia. Clin Orthop Relat Res 1987;225:62- 76.
  • “Wirth T, Stratmann L, Hinrichs F. Evolution of late presenting developmental dysplasia of the hip and associated surgical procedures after 14 years of neonatal ultrasound screening. J Bone Joint Surg Br 2004;86:585-9.
  • “Biedermann R, Eastwood DM. Universal or selective ultrasound screening for developmental dysplasia of the hip? A discussion of the key issues. J Child Orthop 2018;12:296- 301. doi : 10.1302/1863-2548.12.180063
  • “Murphy R F, Kim YJ. Surgical management of pediatric developmental dysplasia of the hip. J Am Acad of Orthop Surg 2016; 24:615–24. doi:10.5435/jaaos-d-15-00154
  • “Salter RB, Dubos JP. The first fifteen years’ personal experience with innominate osteotomy in the treatment of congenital dislocation and subluxation of the hip. Clin Orthop Relat Res 1974; 98: 72-103. doi: 10.1097/00003.086.197401000-00009.
  • “Herring JA, Sucato DJ. Developmental dysplasia of the hip. In:Herring JA, ed. Tachdjian’s Pediatric Orthopaedics. 4th ed. Philadelphia: Saunders Elsevier, 2008:677.
  • “Rachbauer F, Kain MS, Leunig M. The history of the anterior approach to the hip. Orthop Clin North Am 2009;40:311-20.
  • “Kitoh H, Kaneko H, Ishiguro N. Radiographic analysis of movements of the acetabulum and the femoral head after Salter innominate osteotomy. J Pediatr Orthop 2009;29:879- 84. doi:10.1097/bpo.0b013e3181c1e314
  • “Severin E. Contribution to knowledge of congenital dislocation of hip joint: late results of closed reduction and arthrographic studies of recent cases. Acta Chir Scand 1941; 84 (Suppl 63): 1-142.
  • “Mckay DW. A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip. Clin Orthop Relat Res 1974; 98: 124- 132. doi: 10.1097/00003.086.197401000-00013.
  • “Salter RB, Kostuik J, Dallas S. Avascular necrosis of the femoral head as a complication of treatment for congenital dislocation of the hip in young children: a clinical and experimental investigation. Can J Surg 1969; 12: 44-61.
  • “Kalamchi A, MacEwen GD. Avascular necrosis following treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1980; 62: 876-88.
  • “Köroğlu C, Özdemir E, Çolak M, Şensöz E, Öztuna FV. Open reduction and Salter innominate osteotomy combined with femoral osteotomy in the treatment of developmental dysplasia of the hip: Comparison of results before and after the age of 4 years. Acta Orthop Traumatol Turc 2021;55:28-32. doi: 10.5152/j.aott.2021.17385.
  • “Abdullah ES, Razzak MY, Hussein HT, El-Adwar KL, Abdel- Razek Youssef A. Evaluation of the results of operative treatment of hip dysplasia in children after the walking age. Alexandria J Med 2012;48:115-22
  • “Erturk C, Altay MA, Yarimpapuc R, Koruk I, Isikan UE. One-stage treatment of developmental dysplasia of the hip in untreated children from two to five years old A comparative study. Acta Orthop Belg 2011;77:464-71.
  • “Barrett WP, Staheli LT, Chew DE. The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip. J Bone Joint Surg Am 1986;68:79-87. doi: 10.2106/00004.623.198668010-00010.
  • “Gülman B, Tuncay IC, Dabak N, Karaismailoglu N. Salter’s innominate osteotomy in the treatment of congenital hip dislocation: A long term review. J Pediatr Orthop 1994; 14: 662-6. doi: 10.1097/01241.398.199409000-00021.
  • “Vengust R, Antolic V, Srakar F. Salter osteotomy for treatment of acetabular dysplasia in developmental dysplasia of the hip in patients under 10 years. J Pediatr Orthop B 2001;10:30-6.
  • “Utterback TD, MacEwen GD. Comparison of pelvic osteotomies for the surgical correction of the congenital hip. Clin Orthop Relat Res 1974;98:104-10. doi: 10.1097/00003.086.197401000-00010.
There are 19 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Original Articles
Authors

Fatih Incı This is me 0000-0002-7960-4880

Guven Bulut This is me 0000-0001-6583-4549

Seyit Ali Gümüstas This is me 0000-0002-3410-2465

Publication Date May 31, 2021
Published in Issue Year 2021 Volume: 34 Issue: 2

Cite

APA Incı, F., Bulut, G., & Gümüstas, S. A. (2021). The effect of patient’s age on the outcomes of Salter pelvic osteotomy. Marmara Medical Journal, 34(2), 175-179. https://doi.org/10.5472/marumj.945174
AMA Incı F, Bulut G, Gümüstas SA. The effect of patient’s age on the outcomes of Salter pelvic osteotomy. Marmara Med J. May 2021;34(2):175-179. doi:10.5472/marumj.945174
Chicago Incı, Fatih, Guven Bulut, and Seyit Ali Gümüstas. “The Effect of patient’s Age on the Outcomes of Salter Pelvic Osteotomy”. Marmara Medical Journal 34, no. 2 (May 2021): 175-79. https://doi.org/10.5472/marumj.945174.
EndNote Incı F, Bulut G, Gümüstas SA (May 1, 2021) The effect of patient’s age on the outcomes of Salter pelvic osteotomy. Marmara Medical Journal 34 2 175–179.
IEEE F. Incı, G. Bulut, and S. A. Gümüstas, “The effect of patient’s age on the outcomes of Salter pelvic osteotomy”, Marmara Med J, vol. 34, no. 2, pp. 175–179, 2021, doi: 10.5472/marumj.945174.
ISNAD Incı, Fatih et al. “The Effect of patient’s Age on the Outcomes of Salter Pelvic Osteotomy”. Marmara Medical Journal 34/2 (May 2021), 175-179. https://doi.org/10.5472/marumj.945174.
JAMA Incı F, Bulut G, Gümüstas SA. The effect of patient’s age on the outcomes of Salter pelvic osteotomy. Marmara Med J. 2021;34:175–179.
MLA Incı, Fatih et al. “The Effect of patient’s Age on the Outcomes of Salter Pelvic Osteotomy”. Marmara Medical Journal, vol. 34, no. 2, 2021, pp. 175-9, doi:10.5472/marumj.945174.
Vancouver Incı F, Bulut G, Gümüstas SA. The effect of patient’s age on the outcomes of Salter pelvic osteotomy. Marmara Med J. 2021;34(2):175-9.