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Our Experience with Salter’s Innominate Osteotomy in the Treatment of Hip Dysplasia

  • Conference paper
Acetabular Dysplasia

Part of the book series: Progress in Orthopaedic Surgery ((ORTHOPAEDIC,volume 2))

Abstract

Generally speaking, the main problem in the treatment of hip dysplasia is not reduction of a dislocated hip, but stabilization of the achieved reduction. In 1961, Salter described an innominate osteotomy, which now bears his name, for improved stabilization of the hip joint in the treatment of dislocation and subluxation. The principle of this operation is that following an osteotomy of the pelvis in the linea innominata, the inferior portion of the pelvis, i.e., the entire acetabulum including pubic bone and ischium, be tilted anterolaterally and caudally, using the symphysis as the fulcrum (Fig. 1). As a result, the acetabulum is shifted downward from its former, anterolaterally directed position. Apart from this acetabular maldirection, Salter considers capsular elongation and contractures of the adductors and iliopsoas muscles to be the main causes of the instability (Salter and Dubos, 1974).

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Author information

Authors and Affiliations

  1. Orthopaedic Department, University of Basel, Basel, Switzerland

    E. Morscher

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  1. E. Morscher
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Editor information

Editors and Affiliations

  1. New Haven Orthopaedic Group, P.C., Orthopaedic Surgery, The Temple Medical Building, 60 Temple Street, New Haven, Connecticut, 06510, USA

    U. H. Weil

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© 1978 Springer-Verlag Berlin Heidelberg

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Morscher, E. (1978). Our Experience with Salter’s Innominate Osteotomy in the Treatment of Hip Dysplasia. In: Weil, U.H. (eds) Acetabular Dysplasia. Progress in Orthopaedic Surgery, vol 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-66737-4_5

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  • DOI: https://doi.org/10.1007/978-3-642-66737-4_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-66739-8

  • Online ISBN: 978-3-642-66737-4

  • eBook Packages: Springer Book Archive

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