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Salter Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip in Children by Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am.

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Presentation on theme: "Salter Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip in Children by Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am."— Presentation transcript:

1 Salter Innominate Osteotomy for the Treatment of Developmental Dysplasia of the Hip in Children by Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am Volume 84(2):178-186 February 1, 2002 ©2002 by The Journal of Bone and Joint Surgery, Inc.

2 The survival curve for the hips managed with the Salter innominate osteotomy, with a true revision (i.e., an acetabuloplasty, triple osteotomy, or total hip replacement) as the end point. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

3 The survival curves for the hips managed with the Salter innominate osteotomy, according to the postoperative grade of avascular necrosis of the femoral head, with a true revision (i.e., an acetabuloplasty, triple osteotomy, or total hip replacement) as the... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

4 Mosaic plot (the horizontal axis is divided according to the sample proportions) showing the higher probability (chi-square test, p < 0.0001) of failure (defined as a true revision or a Merle d’Aubigné and Postel score of <13 points and/or a Harris hip scor... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

5 Mosaic plot showing the higher probability (chi-square test, p = 0.0002) of failure (defined as a true revision or a Merle d’Aubigné and Postel score of <13 points and/or a Harris hip score of <70 points) associated with higher postoperative grades for the... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

6 Mosaic plot showing the higher probability (chi-square test, p < 0.0001) of failure (defined as a true revision or a Merle d’Aubigné and Postel score of <13 points and/or a Harris hip score of <70 points) after simultaneous open reduction during a Salter os... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

7 Figs. 6-A through 6-D A 4.2-year-old girl who was first seen with a congenital grade-3 dislocation of the right hip with no radiographic signs of avascular necrosis. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

8 A radiograph, made one month after a combined open reduction and Salter innominate osteotomy, showing a deep concentric reduction. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

9 Twelve years after the Salter innominate osteotomy, the patient was free of pain and could walk long distances without a limp. Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.

10 At the latest follow-up examination, thirty-three years after the Salter innominate osteotomy, the patient had an excellent clinical result (a Harris hip score of 100 points and a Merle d’Aubigné and Postel score of 18 points) and the radiograph of the pelv... Paul Böhm, and Annemarie Brzuske J Bone Joint Surg Am 2002;84:178-186 ©2002 by The Journal of Bone and Joint Surgery, Inc.


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