Moulin P, Morscher E
Orthopädische Universitätsklinik Basel.
Orthopade. 1988 Nov;17(6):479-84.
We report the long-term results obtained with Salter's innominate osteotomy over an average follow-up time of 24 years. In 8 of 9 hips the innominate osteotomy was combined with an intertrochanteric femoral osteotomy. On average the acetabular angle was improved by 12 degrees. By 11 years post-operatively the acetabular angle had stabilized at a mean of 16 degrees, subsequently remaining the same through the follow-up period. The centre angle was improved by approximately 20 degrees. By 8 years post-operatively it was in the normal range around 27 degrees, remaining unchanged until the most recent follow-up examination. Among the 9 patients who were followed up there was only one mild deformity of the femoral head. We recommend Salter's innominate osteotomy for the treatment of dysplastic acetabulae with an acetabular angle of not much more than 40 degrees, for patients 2-4 years of age, and occasionally up to the age of 6.
我们报告了Salter髋臼截骨术在平均24年随访期内获得的长期结果。9例髋关节中有8例进行了髋臼截骨术，并联合股骨转子间截骨术。髋臼角平均改善了12度。术后11年，髋臼角稳定在平均16度，随后在随访期间保持不变。中心角改善了约20度。术后8年，其处于正常范围，约为27度，直至最近一次随访检查时保持不变。在接受随访的9例患者中，仅1例出现股骨头轻度畸形。我们建议，对于2至4岁、偶尔至6岁的髋臼角不超过40度的发育性髋臼发育不良患者，采用Salter髋臼截骨术进行治疗。
