Cj. Lin et al., Intraoperative instability for developmental dysplasia of the hip in children 12 to 18 months of age as a guide to salter osteotomy, J PED ORTH, 20(5), 2000, pp. 575-578
There is still debate on the necessity of Salter osteotomy for developmenta
l dysplasia of hip (DDH) between 12 and 18 months of age. The goals of this
study were to investigate the correlating factors of intraoperative instab
ility its a guide to the additional Salter osteotomy and to evaluate the ra
diographic and clinical results. Stability could not be achieved in 63% of
84 hips with soft-tissue releases alone. The existence of three pathologic
findings (grade of dislocation, inverted labrum, and excessive anteversion)
and absence of two surgical procedures (transverse acetabular ligament inc
ision and iliopsoas osteotomy) significantly correlates with instability. A
t follow-up, the acetabular remodeling with or without Salter osteotomy was
similar. We conclude that the Salter osteotomy does not interfere with the
acetabular remodeling and has no major disadvantages for children at that
age but can help to improve the stability of the hip.