Abstract

 


In this manuscript, functional and radiologic results of twentysixpatients between eighteen months- four years of age, to whom open reduction and innominate osteotomy was performed as primary therapy are reviewed. All the patients had congenital dislocation of hip (CDH) and no previous therapeutic application due to this pathology. Due to increased femoral anteversion found with CT measurements, femoral shortening and derotetional osteotomy was added to standard surgical procedure in five patients. The mean follow-up time was 36 (13-62) months. The clinical and radiological results were analized according to modified McKay and to Severin criteria respectively. The patients were also examined for aseptic necrosis of the femoral head, which was defined by Salter and Kostuik. Our clinical ( 86% excellent/good) and radiological (76% excellent/good) results were found to be in corelation with the literature and we believe that this surgical technique, even when femoral shortening and derotetional osteotomy was added, can safely be performed witout an increase in the risk of aseptic necrosis of the femoral head. [Journal of Turgut Ozal Medical Center 1997;4(2):175-181]

Key Words: Congenital dislocation of hip (CDH), therapy, salter's osteotomy