RESULTS OF THE KALAMCHI MODIFICATION OF SALTER OSTEOTOMY IN THE TREATMENT OF DEVELOPMENTAL DYSPLASIA OF THE HIP

被引:14
作者
SYNDER, M [1 ]
FORLIN, E [1 ]
XIN, SQ [1 ]
BOWEN, JR [1 ]
机构
[1] ALFRED I DUPONT INST,EDITORIAL SERV,POB 269,WILMINGTON,DE 19899
关键词
ACETABULAR DYSPLASIA; DEVELOPMENTAL DYSPLASIA OF THE HIP; KALAMCI OSTEOTOMY; SALTER OSTEOTOMY;
D O I
10.1097/01241398-199207000-00006
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The results of the Kalamchi osteotomy for acetabular dysplasia or subluxation secondary to developmental dysplasia of the hip are reported. In 16 hips, the modified innominate osteotomy was the sole procedure, whereas 10 hips had a concomitant shelf procedure and four hips had a concomitant femoral varus osteotomy. Using a modification of Severin's classification for radiographic evaluation, 97% of hips were classified as excellent (class I and II). Using McKay's criteria for clinical results, 93% of hips were classified as excellent or good. The advantages of this procedure are avoidance of limb lengthening, better stability of the osteotomy, no need for graft, and theoretically a decrease in pressure across the femoral head.
引用
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页码:449 / 453
页数:5
相关论文
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  • [1] Barrett W.P., Staheli L.T., Chew D.E., The effectiveness of the Salter innominate osteotomy in the treatment of congenital dislocation of the hip, J Bone Joint Surg [Am], 68, pp. 79-87, (1986)
  • [2] Berkeley M.E., Dickson J.H., Cain T.E., Donovan M.M., Surgical therapy for congenital dislocation of the hip in patients who are twelve to thirty-six months old, J Bone Joint Surg [Am], 66, pp. 412-420, (1984)
  • [3] Cherney D.L., Westin G.W., Acetabular development in the infant's dislocated hips, Clin Orthop, 242, pp. 98-103, (1989)
  • [4] Coleman S.S., The incomplete pericapsular (Pemberton) and innominate (Salter) osteotomies, Clin Orthop, 98, (1974)
  • [5] Fixsen J.A., Anterior and posterior displacement of the hip after innominate osteotomy, J Bone Joint Surg [Br], 69, (1987)
  • [6] Gur E., Sarlak O., The complications of Salter innominate osteotomy in the treatment of congenital dislocation of hip, Acta Orthop Belg, 56, pp. 257-261, (1990)
  • [7] Hansson G., Althoff B., Bylund P., Jacobsson B., Lofberg A.M., Lonnerholm T., The Swedish experience with Salter's innominate osteotomy in the treatment of congenital subluxation and dislocation of the hip, J Pediatr Orthop, 10, pp. 159-162, (1990)
  • [8] Kalamchi A., Modified Salter osteotomy, J Bone Joint Surg [Am], 64, pp. 183-187, (1982)
  • [9] Kalamchi A., Macewen G.D., Avascular necrosis following treatment of congenital dislocation of the hip, J Bone Joint Surg [Am], 62, pp. 876-888, (1980)
  • [10] McKay D.W., A comparison of the innominate and the pericapsular osteotomy in the treatment of congenital dislocation of the hip, Clin Orthop, 98, pp. 124-132, (1974)