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Acta ortopédica mexicana
versão impressa ISSN 2306-4102
Resumo
VALLES-MATA, EM; VALLES-FLORES, LA e MONTES-DEL BOSQUE, RF. Results of the Salter’s osteotomy as a definitive treatment for the developmental dysplasia of the hip. Acta ortop. mex [online]. 2016, vol.30, n.5, pp.231-235. ISSN 2306-4102.
Objective:
Evaluate the results of open reduction associated to a Salter osteotomy at nine months of age for treatment of the developmental Dysplasia of the Hip.
Material and methods:
Case- series of unilateral Developmental Dysplasia of the hip treated between July 2004- December 2008 with follow-up at 3, 6 and 9 months postop.
Results:
16 patients, 13 females (81%) 3 males (19%). we did an open reduction and Salter’s osteotomy at 9 months on average (8- 10 months); the most effected side were the left hip on 75%. at 9 months of follow up 15 patients had a McKay score excellent and 1 good. Only one patient was followed up at one year with no pain, full range of motion and stable.
Conclusion:
open reduction and salter osteotomy without preoperative traction is an effective treatment in the short-term; the range of motion could be affected. It is important that the spica cast were applied in a staged manner and in secured position.
Palavras-chave : Hip; osteotomy; dysplasia developmental; treatment; Salter.