Double innominate osteotomy and the Smith-Petersen technique in the treatment of developmental hip disorder

Abstract

Purpose: The purpose of our study was to present results of different surgical orthopaedic approaches in the treatment of children with developmental hip disorder.

Material and Methods: At the University Childrens Hospital in Belgrade, 21 young adults diagnosed with developmental hip disorder were treated with double osteotomy and with a modified Smith-Peterson approach during a period of 10 years, from 1997 to 2007. All patients were clinically and radiographically evaluated.

Results: We were successful with 23 hips in 20 patients, since some patients underwent surgery of both hips. The evaluation of improvement was done according to the Merle d’Aubigne and Postel system which indicated very satisfied outcome in five patients, satisfied in 8, fair in 7 and poor in one patient.

Conclusions: In this paper we discuss the advantages and disadvantages of double osteotomy procedures compared with others that are used in the correction of developmental hip disorder. The best solution is adequate and timely diagnosis with proper correction of the deformity.

Additional information

Notes on contributors

I. Petronic

Prof. I. Petronic MD, PhD Department of Physical Medicine and Rehabilitation university Childrens Hospital Tirsova 10, 11000 Belgrade, Serbia Tel.: [phone] E-mail: [email protected]