Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 24487
THE UTILIZATION OF THE FEMORAL SEGMENT RESECTED IN FEMORAL
SHORTENING IN STABILIZATION OF INNOMINATE OSTEOTOMY IN
TREATMENT OF D.D.H.
Nagy Ahmed SABET
Collage of Medicine Misr University for Science and Technology, Cairo (EGYPT)
Background: Developmental Dysplasia of the Hip is a major problem. In older
children, open reduction and or Salter innominate osteotomy is recommended.
Femoral osteotomy and shortening when it is necessary can offer a suitable graft
which can be used in the stabilization of Salter osteotomy. Material & Method: 20
cases of D.D.H. were treated by open reduction, Salter innominate osteotomy and
femoral shortening using the femoral segment resected from the femur as a bone
graft to stabilize the Salter osteotomy.14 patients were females and 6 were males.
The age was ranged from 2 years to 5 years. 10 hips were left. 6 were right and 4
were bilateral. The right hips were done by the present procedure. The length of the
femural shortening ranged from 8mm to 28mm with average 13mm. Results: The 20
hips were followed-up from 2 months to 4 years. The total immobilization period
ranged from six to nine weeks. Complete incorporation of the graft in the host bone
was achieved in all cases. No cases of wound infection, fracture or dislodging of the
graft was seen. Conclusion: From this study one can conclude that using the femoral
segment resected in femoral shortening in stabilization of the Salter innominate
Osteotomy is a reliable method, providing an efficient means of stabilization at the
osteotomy site with full respect to the morphology and growth of the innominate bone
and its crest which plays a great role in the equilibrium and morphology of the body
as a whole.
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