ASSESSMENT OF PRE AND INTRAOPERATIVE INDICATIONS OF SALTER INNOMINATE OSTEOTOMY IN DEVELOPMENTAL DYSPLASIA OF HIP (DDH) IN CHILDREN AGED (18-36)MONTHS

*Omar A. Ibrahim M.B.Ch.B., Adnan I. Ali D.M.R.D., Baqir K. Kridi F.I.C.M.S.

ABSTRACT

The management of developmental dysplasia of the hip aims for early diagnosis and treatment. It is claimed that adequate acetabular remodelling is possible only during the first18 months of life. After this, satisfactory development cannot always be assured by non-operative treatment following closed reduction (Salter and Dubos 1974). Innominate osteotomy was originally designed for children with delayed presentation of developmental hip dysplasia and those in whom earlier treatment had failed to produce remodeling (Salter 1961). Reorientation of the acetabulum makes the reduced hip more stable, increases the load-bearing area of the acetabulum in the weight-bearing position, and does not alter its shape or volume.

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