title: CLINICAL AND RADIOLOGICAL EVALUATION ON DEVELOPMENTAL HIP DYSPLASIA AFTER SALTER AND OMBRÉDANNE PROCEDURE.
abstract: OBJECTIVE
  To evaluate the clinical and radiological medium-term results from surgical treatment of developmental hip dysplasia through Salter innominate bone osteotomy and Ombrédanne femoral shortening.
  
  
  METHODS
  Fourteen patients were evaluated, with surgical treatment on 18 hips (seven right-side hips and eleven left-side hips) using the proposal technique, performed between 1998 and 2008. The Dutoit and Severin criteria were used respectively for clinical and radiographic evaluations.
  
  
  RESULTS
  The average preoperative index for the seven right-side hips was 43.3° (40° to 50°), and this was corrected through surgery to an average of 31.57° (24° to 42°). The average preoperative index for the eleven left-side hips was 42.1° (36° to 56°), and this was corrected through surgery to an average of 30.36° (20° to 44°). There was a statistically significant difference between the preoperative and postoperative acetabular indexes, with P > 0.05. The clinical evaluation showed that there were seven excellent hips (38.9%), eight good ones (44.4%), three fair hips (16.7%) and no poor ones (0%). By grouping the hips rated good and excellent as satisfactory and those rated poor and fair as unsatisfactory, 83.3% of the results were seen to be favorable. There were no statistically significant correlations between occurrences of complications and patient age at the time of surgery or between complications and the preoperative acetabular index (p > 0.05). The complications observed consisted of one case each of subluxation, osteonecrosis and osteonecrosis together with subluxation.
  
  
  CONCLUSIONS
  The combined procedure of Salter and Ombrédanne is a viable option for treating developmental hip dysplasia after patients have started to walk.
authors.affiliation: Head of the Pediatric Orthopedics Clinic of Hospital de Acidentados - Goiânia and of the Pediatric Orthopedics Clinic of Hospital das Clínicas da Universidade Federal de Goiás (UFG) - Goiânia, GO, Brazil.
authors.forename: Válney Luiz
authors.initials: VL
authors.lastname: da Rocha
authors.affiliation: Resident of the Orthopedics and Traumatology Department of Hospital das Clínicas da Universidade Federal de Goiás (UFG) - Goiânia, GO, Brazil.
authors.forename: André Luiz Coelho
authors.initials: AL
authors.lastname: Thomé
authors.affiliation: Resident of the Orthopedics and Traumatology Department of Hospital das Clínicas da Universidade Federal de Goiás (UFG) - Goiânia, GO, Brazil.
authors.forename: Daniel Labres
authors.initials: DL
authors.lastname: da Silva Castro
authors.affiliation: Resident of the Orthopedics and Traumatology Department of Hospital das Clínicas da Universidade Federal de Goiás (UFG) - Goiânia, GO, Brazil.
authors.forename: Leandro Zica
authors.initials: LZ
authors.lastname: de Oliveira
authors.affiliation: Master's Degree, Assistant Professor of the Department of Orthopedics and Traumatology of Hospital das Clínicas da Universidade Federal de Goiás (UFG) - Goiânia, GO, Brazil.
authors.forename: Frederico Barra
authors.initials: FB
authors.lastname: de Moraes
keywords: Bone Diseases, Developmental; Hip Dislocation, Congenital/surgery; Hip/growth & development; Surgical Procedures, Operative/methods