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- W2085161401 abstract "Acetabular dysplasia can be measured in a variety of ways radiographically, and becomes symptomatic in later childhood because of femoral head subluxation and the subsequent overloading of articular cartilage. In 1961 Salter described an innominate osteotomy which realigned the acetabular component of the pelvis.1 Ideally, the acetabulum should have a normal shape but should be maldirected, such that the femoral head is uncovered anterolaterally. There is therefore an increased acetabular index and a decreased CE angle.2 The procedure finds its greatest application in the younger child, particularly those who have been treated for developmental dysplasia or dislocation of the hip after its discovery towards the end of the first year of life, or in the toddler stage. In these cases, if there has been no significant improvement in the acetabular index over a 1–2-year period, or if the acetabular dysplasia persists at the age of 4, there is certainly an indication for realignment of the acetabulum although it must be appreciated that posterior cover of the femoral head is thereby reduced. The osteotomy is also of value when instability occurs after initial closed or open reduction of the hip, and is applicable to that diminishing group of patients who present after the age of two years with frank dislocation, where it may be possible to combine open reduction with the Salter osteotomy. It must be appreciated, however, that redislocation of the femoral head after the combined procedure is a" @default.
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- W2085161401 date "2000-05-01" @default.
- W2085161401 modified "2023-10-18" @default.
- W2085161401 title "Technical aspects of the Salter innominate osteotomy" @default.
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- W2085161401 doi "https://doi.org/10.1054/cuor.2000.0110" @default.
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