DEFINITION OF COMPLETE DIAGNOSIS

DEVELOPMENTAL DYSPLASIA OF THE HIP S/P SALTER OSTEOTOMY LEFT HIP

IMPLANT IN SITU

DEVELOPMENTAL DYSPLASIA OF THE HIP

Developmental hip dyplasia (often referred to as congenital hip dysplasia) is improper
formation and function of the hip socket. It may be evident as subluxation or hip dislocation of the head
of the femur.
Source: Pillitteri, Adele. Maternal and Child Health Nursing (4th ed.)Lippincott Williams & Wilkins.
2003.

Hip dysplasia is the medical name used to describe a problem with formation of the hip joint in
children. The location of the problem can be either the ball of the hip joint (femoral head), the socket of
the hip joint (the acetabulum), or both.
Source: Miller, B. & Keane, C. Encyclopedia and Dictionary of Medicine and Nursing. W.B. Saunders
Company. Philadelpia

Congenital hip dysplasia is a disorder in children that is either present at birth or shortly
thereafter. During gestation, the infant's hip should be developing with the head of the thigh bone
(femur) sitting perfectly centered in its shallow socket (acetabulum). The acetabulum should cover the
head of the femur as if it were a ball sitting inside of a cup. In the event of congenital hip dysplasia, the
development of the acetabulum in an infant allows the femoral head to ride upward out of the joint
socket, especially when the infant begins to walk.
Source: www.orthopedics.about.com

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SALTER OSTEOTOMY LEFT HIP IMPLANT IN SITU

Salter osteotomy is a complete pelvic osteotomy that hinges on the symphysis pubis and results
in anterolateral displacement of the acetabulum. The derotated acetabulum is held in place with a bone
graft and fixed with Kirschner wires. Salter osteotomy has been performed over four decades and
excellent short- and long-term results have been reported from different centers all over the world. Its
success is closely related to appropriate patient selection and meticulous surgical technique with strict
adherence to prerequisites.
Source: Miller, B. & Keane, C. Encyclopedia and Dictionary of Medicine and Nursing. W.B. Saunders
Company. Philadelpia

The Salter innominate osteotomy has been used successfully for many years in the treatment of
developmental dysplasia of the hip. One of its main drawbacks is the need for internal fixation with
pins and their subsequent removal.
Source: Pillitteri, Adele. Maternal and Child Health Nursing (4th ed.)Lippincott Williams & Wilkins.
2003.

In Salter’s osteotomy, the entire acetabulum, together with the pubis and ischium, is rotated
anteriorly and laterally as a unit, with the symphysis pubis acting as a hinge. The osteotomy is held
open anterolaterally by a wedge of full thickness bone graft, usually taken from the anterior part of the
iliac crest.
Source: www.RoyalCollegeofSurgeonsofEdinburgh.ac.uk

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