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Title

EFFECT OF SALTER'S INNOMINATE OSTEOTOMY COMPARED WITH A MODIFIED POSTERIOR CLOSED WEDGE OSTEOTOMY ON THE SACROILIAC JOINT IN THE TREATMENT OF CONGENITAL DISLOCATION/DYSPLASIA OF THE HIP

Pages

  25-30

Abstract

 Background: Despite good results of Salter's innominate OSTEOTOMY in treatment of congenital dislocation of the hip, there are some failures including limb lengthening and are pressure effect on the hip joint. A few modifications of this procedure have developed in time. The present paper is a report on one such modification the objective is to compare the effect of Salter's innominate OSTEOTOMY with a modified posterior wedge OSTEOTOMY on the SACROILIAC JOINT in patients with congenital dislocation/dysplasia of the hip. Methods: The radiographs of 62 cases of developmental dislocation of hip (DDH), who had undergone innominate ostetomies-31 classic Salter's and 31 modified posterior wedge OSTEOTOMY- were evaluated. The post operative epsilateral SI joint widening was compared with non-operated site to determine the possible stress effect of OSTEOTOMY on SACROILIAC JOINT. Results: On the operated side, there was more than 1 mm widening (2-4 mm) in 20 of 31 cases in Classic OSTEOTOMY group compared with 9 of 31 cases in modified group post-operatively. There was no significant correlation between original height of dislocation, age and rate of acetanbular index correction with postoperative widening of the SACROILIAC JOINT. Conclusions: These findings suggest that Salter's innominate OSTEOTOMY may create pressure on the inferior part of the SACROILIAC JOINT, resulting in some displacement which may be avoided by the modified method.

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    APA: Copy

    MADADI, F., KAZEMI, SEYED MORTEZA, ABD ELAH ZEDEH LAHIJI, F., & MAHMOUDI GHARAEI, A.R.. (2005). EFFECT OF SALTER'S INNOMINATE OSTEOTOMY COMPARED WITH A MODIFIED POSTERIOR CLOSED WEDGE OSTEOTOMY ON THE SACROILIAC JOINT IN THE TREATMENT OF CONGENITAL DISLOCATION/DYSPLASIA OF THE HIP. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 4(3 (11)), 25-30. SID. https://sid.ir/paper/85425/en

    Vancouver: Copy

    MADADI F., KAZEMI SEYED MORTEZA, ABD ELAH ZEDEH LAHIJI F., MAHMOUDI GHARAEI A.R.. EFFECT OF SALTER'S INNOMINATE OSTEOTOMY COMPARED WITH A MODIFIED POSTERIOR CLOSED WEDGE OSTEOTOMY ON THE SACROILIAC JOINT IN THE TREATMENT OF CONGENITAL DISLOCATION/DYSPLASIA OF THE HIP. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2005;4(3 (11)):25-30. Available from: https://sid.ir/paper/85425/en

    IEEE: Copy

    F. MADADI, SEYED MORTEZA KAZEMI, F. ABD ELAH ZEDEH LAHIJI, and A.R. MAHMOUDI GHARAEI, “EFFECT OF SALTER'S INNOMINATE OSTEOTOMY COMPARED WITH A MODIFIED POSTERIOR CLOSED WEDGE OSTEOTOMY ON THE SACROILIAC JOINT IN THE TREATMENT OF CONGENITAL DISLOCATION/DYSPLASIA OF THE HIP,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 4, no. 3 (11), pp. 25–30, 2005, [Online]. Available: https://sid.ir/paper/85425/en

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