Salter and Penberton shortening operation for DDH patients
description
Transcript of Salter and Penberton shortening operation for DDH patients
![Page 1: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/1.jpg)
Salter and Penberton shortening operation for DDH patients
Mazloumi M MD Associated professorOrthopedic Surgeon
![Page 2: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/2.jpg)
Patients
• We retrospectively reviewed 31 patients with DDH treated in Gaem hospital in last 5 years.
• Six patients excluded of this study because of other treatment modalities.
• 25 patient include in this study.
![Page 3: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/3.jpg)
Patients • Number of patients 25
• Number of bilateral involvement 12
• Number of the affected hip 37
• Follow up Between 6 month to six years (min 3 years)
![Page 4: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/4.jpg)
Age of patients Age ( months ) No. %
7 1 4.0 11 1 4.0 19 1 4.0
24 ( 2 years ) 7 28.0 36 ( 3 years ) 6 24.0 48( 4 years ) 5 20.0
60 2 8.0 84 1 4.0
108 1 4.0 Total 25 100.0
![Page 5: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/5.jpg)
Patients Sex No. %
Boy 6 24.0
Girl 19 76.0
Total 25 100.0
![Page 6: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/6.jpg)
Patients Associated disease No. %
Non 18 72.0
Club foot 2 8.0
Mental retardation 1 4.0
Arthrogriposis 1 4.0
Myelomeningocell 1 4.0
Vertical talus 2 8.0
Total 25 100.0
![Page 7: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/7.jpg)
Patients Affected side No. %
Left 5 20.0
Right 8 32.0
Bilateral 12 48.0
Total 25 100.0
![Page 8: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/8.jpg)
Patients Type of operation No. %
Left Salter Shortening 4 16.0
Right pemberton Shortening 6 24.0
Right Salter Shortening 4 16.0
Left pemberton Shortening 1 4.0
Left close reduction & Right Salter Shortening 1 4.0
Right & Left Salter Shortening 9 36.0
Total 25 100.0
![Page 9: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/9.jpg)
Number of dislocated hip joint Type of operation No . %
Left Salter Shortening 15 40.0
Right pemberton Shortening 6 16.0
Right Salter Shortening 14 38.0
Left pemberton Shortening 1 3.0
Left close reduction 1 3.0
Total 37 100.0
![Page 10: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/10.jpg)
Severin,s classification systemC E angle
19 degree Ia Class I
16 degree Ib Norma 19 degree IIa Class II
15 – 19 degree IIb Moderate deformity
15 degree IIIa Class III
IIIb Dysplasia without subluxation
0 IVa Class IV
0 IVb Subluxation Pseudoacetabulum Class V
Redislocation Class VI
![Page 11: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/11.jpg)
Severin,s classification system Number of operated
hips 5 Ia Class I
7 Ib Norma 10 IIa Class II
13 IIb Moderate deformity
IIIa Class III
IIIb Dysplasia without Subluxation
1 IVa Class IV
IVb Subluxation Pseudoacetabulum Class V
1 Redislocation Class VI
![Page 12: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/12.jpg)
Complication
![Page 13: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/13.jpg)
Complication
![Page 14: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/14.jpg)
Complication
![Page 15: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/15.jpg)
Complication A.I. = Graft failure
![Page 16: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/16.jpg)
Complication
![Page 17: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/17.jpg)
Complication
![Page 18: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/18.jpg)
1 year after operationA. I. = A. I. =
![Page 19: Salter and Penberton shortening operation for DDH patients](https://reader034.fdocuments.net/reader034/viewer/2022051402/56816439550346895dd602f9/html5/thumbnails/19.jpg)
17 year after operation