Comparison the Results of Salter Osteotomy Versus Femoral Osteotomy after Open Reduction in Treatment of Developmental Dysplasia of Hip

Abstract

Background and Objectives: Congenital dislocation of the hip (DDH) is a common cause of morbidity in different communities. Therapeutic implications include reduction and surgical stabilization of the hip joint. The purpose of this study was to compare the results of femoral osteotomy with Salter osteotomy. Materials and Methods: In a descriptive analytical study on 40 children 23 were treated with salter osteotomy and 17 cases underwent femoral osteotomy therapeutic outcome and complications were compared between two groups. Results were analyzed using Mc.Kay classification. Results: Studied group were 40 children (age 4.3±1.5 years M/F 17/23). All patients in both groups had stable hip joint after treatment, and all patients achieved full range of joint motion. Trendelenburg gait was improved in all patients in both groups. Excellent results was achieved in 65% after Salter osteotomy and in 47% of cases femoral osteotomy, the difference was not statistically significant. The most important complication in Salter osteotomy was avascular necrosis of femoral head in 13% of the treated patients. It was not detected in femoral osteotomy method. On the contrary in femoral osteotomy, limb length discrepancy was the most important complication observed in 5 patients (29.1%). Conclusion: Femoral osteotomy and Salter both methods are successful in stabilizing the hip joint. Both femoral and salter osteotomy methods could successfully stabilize the hip joint.

Keywords: Femoral Osteotomy, Salter Osteotomy, Congenital Hip Dislocation