Salter innominate osteotomy or Pemberton pericapsular osteotomy in treatment of developmental dysplasia of hip

Authors: NACİ EZİRMİK, KADRİ YILDIZ

Abstract: We aimed to compare the clinical and radiological results of the Salter innominate osteotomy (SIO) and Pemberton pericapsular osteotomy (PPO) in children with bilateral developmental hip dysplasia who had undergone PPO for 1 side and SIO for the other side in a 1-stage operation. Materials and methods: Children with bilateral hip dysplasia who had undergone PPO for 1 side and SIO for the other side in a 1-stage operation were included in this study, and 126 hips of 63 patients were evaluated. Clinical and radiological results were evaluated and compared using the Sutherland Pain Scale, Modified McKay Grading System, and Trevor Clinical Scoring System. Results: PPO had statistically significantly better femoral head covering than SIO (P < 0.05). SIO resulted in better outcomes with respect to range of motion, cervico-diaphyseal angle, and Sharp angle, but the difference between the 2 techniques was not statistically significant (P > 0.05). Conclusion: PPO had better outcomes and a lower complication rate than SIO in the treatment of bilateral congenital dysplasia of the hip.

Keywords: Comparing osteotomies, osteotomy techniques, innominate osteotomy, pericapsular osteotomy

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