title: Double innominate osteotomy and the Smith-Petersen technique in the treatment of developmental hip disorder.
abstract: OBJECTIVE
  The purpose of our study was to present results of different surgical orthopaedic approaches in the treatment of children with developmental hip disorder.
  
  
  METHODS
  At the University Childrens Hospital in Belgrade, 21 young adults diagnosed with developmental hip disorder were treated with double osteotomy and with a modified Smith-Peterson approach during a period of 10 years, from 1997 to 2007. All patients were clinically and radiographically evaluated.
  
  
  RESULTS
  We were successful with 23 hips in 20 patients, since some patients underwent surgery of both hips. The evaluation of improvement was done according to the Merle d'Aubigne and Postel system which indicated very satisfied outcome in five patients, satisfied in 8, fair in 7 and poor in one patient.
  
  
  CONCLUSIONS
  In this paper we discuss the advantages and disadvantages of double osteotomy procedures compared with others that are used in the correction of developmental hip disorder. The best solution is adequate and timely diagnosis with proper correction of the deformity.
authors.affiliation: Department of Pediatric Surgery, University Childrens Hospital, Belgrade, Serbia.
authors.forename: R
authors.initials: R
authors.lastname: Brdar
authors.forename: I
authors.initials: I
authors.lastname: Petronic
authors.forename: D
authors.initials: D
authors.lastname: Abramovic
authors.forename: D
authors.initials: D
authors.lastname: Nikolic
authors.forename: M
authors.initials: M
authors.lastname: Lukac
authors.forename: D
authors.initials: D
authors.lastname: Cirovic
mesh_terms: D000293:Adolescent; D019072:Antibiotic Prophylaxis; D001848:Bone Diseases, Developmental / Q000601:surgery*; D002648:Child; D005260:Female; D006617:Hip Dislocation / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D055815:Young Adult