Long-term outcome of surgical treatment of developmental dyplasia of the hip using the Dega and Salter method of pelvic osteotomy with simultaneous intratrochanteric femoral osteotomy.
Background. Developmental dysplasia of the hip is still an important issue in orthopedic practice. Even though the number of patients who require surgical correction has decreased in the last 20 years, we still have patients with early dysplastic coxarthriosis. The aim of our study was to assess at maturity the reconstruction of the hip joint among patients surgically treated in childhood using Dega and Salter pelvic osteotomies. Material and methods. Our material consisted of 102 patients who were surgically treated in our clinic for DDH using Dega and Salter osteotomy, with a minimum of 15 years of follow-up. All medical records and radiographs were evaluated through the whole period of treatment until the final follow-up. Clinical results were evaluated using the McKay/ Barrett clasification, and radiological results with Severin criteria. Results. Surgical treatment of DDH gives satisfactory long-term results. We found better outcomes among patients treated at less than 3 years of age and with shorter follow-up. Conclusion. The Dega and Salter pelvic osteotomies are a good choice in the treatment of DDH. In our opinion the Severin classification does not foresee the future of the hip joint, since the criteria are too optimistic.
Marcin
M
Domzalski
Marek
M
Synder
Marek
M
Drobniewski