[Results of the Salters osteotomy as a definitive treatment for the developmental dysplasia of the hip].

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 Salters 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.