SALTER'S
INNOMINATE
OSTEOTOMY:
Dr hardik pawar
Care hospital
AIM :
• In this, the entire acetabulum together with pubis
and ischium is rotated as a unit.
• Redirects the acetabulum in...
• Mild to moderate DDH
• NEAR NORMAL ROM
• NO OA
• CONGRUENT REDUCTION
• CONCENTRIC REDUCTION
• ACETABULAR INDEX < 10 -15
...
Osteotomy made from
Osteotomy made from
AIIS to Greater Sciatic
notch
reater Sciatic notch
ch
Graft is taken from iliac
crest and trained to the
shape of a wedge.
The distal segment is
shifted forward,
downward and o...
Place the graft into
open segment
anteriorly.
Secure it by passing a K-
wire from proximal
fragment through graft into
distal fragment taking care
not to enter acetabul...
ADVANTAGES:
• Relatively simple procedure.
• No change in acetabular configuration.
DISADVANTAGES:
• Relatively unstable n...
• Position : supine
• Approach : smith peterson
• Interval : sartorious – TFL
Salter Osteotomy
THANK YOU
Upcoming SlideShare
Loading in...5
×

Salter's innominate osteotomy

1,057

Published on

by dr. hardik pawar

0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,057
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
4
Comments
0
Likes
1
Embeds 0
No embeds

No notes for slide

Salter's innominate osteotomy

  1. 1. SALTER'S INNOMINATE OSTEOTOMY: Dr hardik pawar Care hospital
  2. 2. AIM : • In this, the entire acetabulum together with pubis and ischium is rotated as a unit. • Redirects the acetabulum in anterolateral direction • Covers the head anteriorly and inferiorly • Hinge – pubic symphysis INDICATIONS: • CDH in children from 18 months to 6 years of age and in congenital subluxation upto early adult life. • Before the osteotomy, femoral head should be positioned opposite the level of the acetabulum achieved by period of traction. • Contractures of iliopsoas and adductor muscles must be released.
  3. 3. • Mild to moderate DDH • NEAR NORMAL ROM • NO OA • CONGRUENT REDUCTION • CONCENTRIC REDUCTION • ACETABULAR INDEX < 10 -15 • CE angle < 10
  4. 4. Osteotomy made from Osteotomy made from AIIS to Greater Sciatic notch reater Sciatic notch ch
  5. 5. Graft is taken from iliac crest and trained to the shape of a wedge. The distal segment is shifted forward, downward and outward
  6. 6. Place the graft into open segment anteriorly.
  7. 7. Secure it by passing a K- wire from proximal fragment through graft into distal fragment taking care not to enter acetabulum.
  8. 8. ADVANTAGES: • Relatively simple procedure. • No change in acetabular configuration. DISADVANTAGES: • Relatively unstable needs internal fixation. • Second surgery for pin removal. • Possibility of joint penetration by pins. • Limb length decrepency 1 cm • Nerve injuries – femoral , sciatic , lat cut, nerve • Loss of position • Post op hip stiffness
  9. 9. • Position : supine • Approach : smith peterson • Interval : sartorious – TFL
  10. 10. Salter Osteotomy
  11. 11. THANK YOU

×