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Journals / Acta Orthopaedica et Traumatologica Turcica / 2022 / Cilt: 56 - Sayı: 2

Clinical and radiological outcomes of Salter versus Pemberton osteotomies in the management of developmental dysplasia of the hip: A retrospective comparative study

Mustafa Tekin
Cenk Özkan
Akif Mirioğlu
Ömer Sunkar Biçer
Melih Bağir
Pages
120–124
Publication Date
2022-10-10
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However it was found that the increased avascular necrosis incidence was significantly associated with Tönnis grade 4 hips.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to investigate whether there is a relationship between Salter and Pemberton pelvic osteotomies and avascular necrosis of femoral head in the management of developmental dysplasia of the hip (DDH).
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Key Findings & Data:Methods: This retrospective study included 69 hips of 52 patients aged between 12-36 months, diagnosed as DDH who had undergone either Salter or Pemberton pelvic osteotomy with Smith Petersen approach.
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Conclusion & Impact:However it was found that the increased avascular necrosis incidence was significantly associated with Tönnis grade 4 hips.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to investigate whether there is a relationship between Salter and Pemberton pelvic osteotomies and avascular necrosis of femoral head in the management of developmental dysplasia of the hip (DDH). Methods: This retrospective study included 69 hips of 52 patients aged between 12-36 months, diagnosed as DDH who had undergone either Salter or Pemberton pelvic osteotomy with Smith Petersen approach. There were 35 patients in Salter Pelvic Osteotomy and 34 patients in Pemberton Pelvic Osteotomy groups. Before the treatment of DDH, Tönnis classification was used, preoperative and 24th month postoperative Acetabular Index (AI) angles were measured. Kalamchi-MacEwen grades of avascular necrosis were determined in terms of presence of avascular necrosis of the femoral head. Results: There were no significant differences between two osteotomy groups at the end of mid-term follow up in terms of the radiological parameters and avascular necrosis of femoral head. However it was found that the increased avascular necrosis incidence was significantly associated with Tönnis grade 4 hips. Conclusion: Salter and Pemberton osteotomies can be both used safely in the treatment of DDH regarding their effect on the femoral head.

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Cite This Article

Tekin, M., Özkan, C., Mirioğlu, A., Biçer, Ö. S., Bağir, M. (2022). Clinical and radiological outcomes of Salter versus Pemberton osteotomies in the management of developmental dysplasia of the hip: A retrospective comparative study. Acta Orthopaedica et Traumatologica Turcica, Cilt: 56 - Sayı: 2, 120–124. https://ajindex.com/articles/427968

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