Salter Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip in Children by Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am.

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Presentation transcript:

Salter Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip in Children by Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am Volume 84(2): February 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

The survival curve for the hips managed with the Salter innominate osteotomy, with a true revision (i.e., an acetabuloplasty, triple osteotomy, or total hip replacement) as the end point. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

The survival curves for the hips managed with the Salter innominate osteotomy, according to the postoperative grade of avascular necrosis of the femoral head, with a true revision (i.e., an acetabuloplasty, triple osteotomy, or total hip replacement) as the... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Mosaic plot (the horizontal axis is divided according to the sample proportions) showing the higher probability (chi-square test, p < ) of failure (defined as a true revision or a Merle d’Aubigné and Postel score of <13 points and/or a Harris hip scor... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Mosaic plot showing the higher probability (chi-square test, p = ) of failure (defined as a true revision or a Merle d’Aubigné and Postel score of <13 points and/or a Harris hip score of <70 points) associated with higher postoperative grades for the... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Mosaic plot showing the higher probability (chi-square test, p < ) of failure (defined as a true revision or a Merle d’Aubigné and Postel score of <13 points and/or a Harris hip score of <70 points) after simultaneous open reduction during a Salter os... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Figs. 6-A through 6-D A 4.2-year-old girl who was first seen with a congenital grade-3 dislocation of the right hip with no radiographic signs of avascular necrosis. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

A radiograph, made one month after a combined open reduction and Salter innominate osteotomy, showing a deep concentric reduction. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

Twelve years after the Salter innominate osteotomy, the patient was free of pain and could walk long distances without a limp. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.

At the latest follow-up examination, thirty-three years after the Salter innominate osteotomy, the patient had an excellent clinical result (a Harris hip score of 100 points and a Merle d’Aubigné and Postel score of 18 points) and the radiograph of the pelv... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84: ©2002 by The Journal of Bone and Joint Surgery, Inc.