Salter osteotomy for treatment of acetabular dysplasia in developmental dysplasia of the hip in patients under 10 years

Serial radiographs of 44 hips in 39 patients undergoing Salter innominate osteotomy for the treatment of dysplastic acetabulum owing to developmental dysplasia of the hip were reviewed. The hips were also evaluated clinically at the last follow-up examination, 7 years to 13 years postoperatively. At 7 years to 13 years postoperative, excellent or good clinical results were assessed in 43 hips (98%), and excellent or good radiographic results in 32 hips (73%). In patients with a postoperative center edge (CE) angle >24 degrees, the CE angle remained significantly greater throughout the follow-up period compared with patients with a postoperative CE angle less than or equal to 24 degrees. A positive correlation was found between the degree of operative CE angle correction and radiographic findings 7 years to 13 years postoperatively.