Outcome of Salter Osteotomy in DDH Patients Case Series
DOI:
https://doi.org/10.59675/M321Keywords:
Salter Osteotomy, DDH, Patients Case Series.Abstract
Backgrounds: Developmental dysplasia of the hip (DDH) is a disorder of abnormal development resulting in dysplasia and possible subluxation or dislocation of the hip secondary to capsular laxity and mechanical factors. Objective: To assess Clinical and radiological outcome of Salter osteotomy in ddh patient. Methods: The study is a Prospective descriptive analysis study involving 12 patients (1 males, 11 females) conducted in Karbala Governorate, Iraq, at Imam Al-Hussain Medical City and Imam Al-Hassan Al-Mujtaba Hospital from January 01, 2023, to January 01, 2025. Patients diagnosed with DDH and who underwent Salter osteotomy were included. Data collection was done through paper questionnaires focusing on age, sex, delivery mode, disease bilaterality, acetabular index, Modified McKay criteria, and postoperative complications (infection, redislocation, AVN). Ethical approval was granted by the research committees, ensuring patient confidentiality. Statistical analysis utilized descriptive statistics (frequency and percentage). Results: The study included a total of 12 participants, with 9 participants (75.0%) being under 2 years of age and 3 participants (25.0%) being over 2 years. Among these participants, 11 were female (91.7%) and 1 was male (8.3%). In terms of bilaterality, 6 participants (50.0%) had unilateral conditions left, 3 participants (25.0%) had bilateral conditions, and the remaining 3 participants (25.0%) had unilateral right conditions. Regarding delivery mode, 6 participants (50.0%) were delivered via cesarean section, while the other 6 (50.0%) were delivered through normal vaginal delivery. Conclusions: In this study conclude Salter osteotomy in patient with DDH under six years old dilver good to excellent clinical and radiological outcome.
References
Esmaeilnejad-Ganji SM, Esmaeilnejad-Ganji SMR, Zamani M, Alitaleshi H. A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage. BioMed Research International. 2019;2019:1-9. doi:10.1155/2019/6021271
Bhuyan BK. Outcome of one-stage treatment of developmental dysplasia of hip in older children. Indian J Orthop. 2012;46(5):548-555. doi:10.4103/ 0019-5413.101035
Gurger M, Demir S, Yilmaz M, Once G. Salter osteotomy without open reduction in the Tönnis type II developmental hip dysplasia: A retrospective clinical study. J Orthop Surg (Hong Kong). 2019;27(1):2309499019835572. doi:10.1177/ 2309499019835572
Ahmed E, Mohamed AH, Wael H. Surgical treatment of the late - presenting developmental dislocation of the hip after walking age. Acta Ortop Bras. 2013;21(5):276-280. doi:10.1590/ s1413-78522013000500007
Spence G, Hocking R, Wedge JH, Roposch A. Effect of innominate and femoral varus derotation osteotomy on acetabular development in developmental dysplasia of the hip. J Bone Joint Surg Am. 2009;91(11):2622-2636. doi:10.2106/jbjs.h.01392
Kothari A, Grammatopoulos G, Hopewell S, Theologis T. How Does Bony Surgery Affect Results of Anterior Open Reduction in Walking-age Children With Developmental Hip Dysplasia? Clin Orthop Relat Res. 2016;474(5):1199-1208. doi:10.1007/ s11999-015-4598-x 20
da Rocha VL, Marques GL, da Silva LJ, di Macedo Bernardes TA, de Moraes FB. Clinical and radiographic medium-term evaluation on patients with developmental dysplasia of the hip, who were submitted to open reduction, capsuloplasty and Salter osteotomy. Rev Bras Ortop. 2014;49(1):51-55. doi:10.1016/j.rboe.2014.01.006
Kobayashi D, Satsuma S, Kinugasa M, Kuroda R, Kurosaka M. Does Salter innominate osteotomy predispose the patient to acetabular retroversion in adulthood? Clin Orthop Relat Res. 2015;473(5):1755-1762. doi:10.1007/ s11999-014-4053-4
Morita M, Kamegaya M, Takahashi D, Kamada H, Tsukagoshi Y, Tomaru Y. Proposal of a New Type of Innominate Osteotomy without the Use of Bone Graft in Children: A Preliminary Study. JB JS Open Access. 2019;4(3):e0016.1-7. doi:10.2106/jbjs.oa.19.00016
Chen C, Wang TM, Kuo KN. Pelvic Osteotomies for Developmental Dysplasia of the Hip. In: Spasovski Dusko , ed. Developmental Diseases of the Hip - Diagnosis and Management. InTechOpen; 2017. https://doi.org/10.5772/67516
van Stralen M, de Witte PB, Lankhorst NE, et al. Salter osteotomy for developmental dysplasia of the hip: a systematic review. J Bone Joint Surg Am. 2024;106(2):132-142. doi:10.2106/JBJS.21.00767.
Rehman HFU, Shah MQA, Labib M, Iqbal MN, Qureshi BA. Role of Salter Osteotomy in Improving Acetabular Index of DDH Patients Measured By Radiography Pre-Op and Post-Op. Pak Armed Forces Med J. 2025;75(SUPPL-I): S2-S5. doi:10.51253/pafmj.v75iSUPPL-I.10462. 21
Suvorov V, Filipchuk V. Salter pelvic osteotomy for the treatment of Developmental Dysplasia of the Hip: assessment of postoperative results and risk factors. Orthop Rev. 2022;14(3):35-45. doi:10.52965/001c.35335.
Tushar T, Shanmugaraj A, Gupta A, Horner NS, Simunovic N, Kishta W, Ayeni OR. Outcomes and complications of patients undergoing Salter’s innominate osteotomies for hip dysplasia: a systematic review of comparative studies. J Hip Preserv Surg. 2021;7(4):621-630. doi:10.1093/jhps/hnab014.
Jagadesh G, Venugopal SM, Chaitanya SSRK, et al. Outcome of surgical management of late presenting developmental dysplasia of hip with pelvic and femoral osteotomies. Indian J Orthop Surg. 2018;4(1):53-59. doi:10.18231/2395-1362.2018.0012.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Academic International Journal of Medical Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.