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“THE SALTER INNOMINATE OSTEOTOMY – QUIRKS AND QUESTIONS”



Abstract

Introduction & Discussion: From an experience of over 250 Salter osteotomies, 148 of which have been reviewed at skeletal maturity, certain technical tips merit discussion:-

Preoperative positioning and the incision

Psoas tenotomy, capsular exposure and the capsulotomy

Facilitation of the Gigli saw osteotomy

Sizing and procurement of the graft

Displacement and fixation of the osteotomy

Application of the hip spica

Some questions are worthy of debate:-

Can the osteotomy be safely combined with open reduction of the high dislocation?

Should the osteotomy be fixed before reducing the femoral head?

Are there alternatives to autogenous bone graft and K-wire fixation?

Is minimally invasive surgery an option?

Are the contraindications and alternatives to the Salter osteotomy fully appreciated?

The abstracts were prepared by Editorial Secretary, Mr Robin W Paton. Correspondence should be addressed to BSCOS at the Royal College of Surgeons, 35– 43 Lincoln’s Inn Fields, London WC2A 3PN