salter and penberton shortening operation for ddh patients
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Salter and Penberton shortening operation for DDH patients. Mazloumi M MD Associated professor Orthopedic Surgeon. Patients. We retrospectively reviewed 31 patients with DDH treated in Gaem hospital in last 5 years. - PowerPoint PPT PresentationTRANSCRIPT
Salter and Penberton shortening operation for DDH patients
Mazloumi M MD Associated professorOrthopedic Surgeon
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.
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)
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
Patients Sex No. %
Boy 6 24.0
Girl 19 76.0
Total 25 100.0
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
Patients Affected side No. %
Left 5 20.0
Right 8 32.0
Bilateral 12 48.0
Total 25 100.0
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
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
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
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
Complication
Complication
Complication
Complication A.I. = Graft failure
Complication
Complication
1 year after operationA. I. = A. I. =
17 year after operation