{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:56:35Z","timestamp":1777737395131,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T00:00:00Z","timestamp":1549411200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005716","name":"Babol University of Medical Sciences","doi-asserted-by":"publisher","award":["9604024"],"award-info":[{"award-number":["9604024"]}],"id":[{"id":"10.13039\/501100005716","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2019,2,6]]},"abstract":"<jats:p><jats:italic>Background and Purpose<\/jats:italic>. The Salter innominate osteotomy has been an effective method to treat the developmental dysplasia of hip (DDH) over the past decades; however, several postoperative complications and deficiencies were reported. In this study, we evaluated outcome of a newly modified Salter osteotomy in patients presenting with DDH.<jats:italic> Methods<\/jats:italic>. We reviewed retrospectively 76 patients (90 hips) with DDH aged \u2265 18 months, who underwent open reduction and a modified osteotomy by a single surgeon. The distal osteotomy segment of pelvis was shifted anterolaterally in the amount of osteotomy cross-section, but not downwards. The mean age at surgery was 2 years and 11 months (1.5 to 16 years). Femoral shortening was conducted when necessary. The duration of operation varied between 60 and 90 minutes. The mean follow-up was 4 years and one month (range 15 months to 7 years and 9 months). All patients were followed up both clinically (based on the modified MacKay criteria) and radiologically (based on the modified Severin criteria).<jats:italic> Results<\/jats:italic>. Clinically, 94.5% of hips had excellent and good results at final follow-up, and only 5.5% had a fair condition. Radiographically, at the final follow-up 77.8% of hips were grade IA (excellent), 12.2% were grade IB, 6.7% were grade II, and 3.3% were grade III (fair). The preoperative mean acetabular index was 47.85\u00b0 (41\u00b0 to 59), which decreased to 17.16\u00b0 (13\u00b0 to 22\u00b0) immediately after the surgery (p&lt;0.0001) and progressed to 11.24\u00b0 (7\u00b0 to 19\u00b0) at the final follow-up (p&lt;0.0001). The mean initial postoperative center-edge angle was 30.3\u00b0 (25\u00b0 to 42\u00b0) significantly improved to 39.1 (31\u00b0 to 56\u00b0) at the final follow-up (p&lt;0.0001). Avascular necrosis of femoral head occurred in 4.4% of hips (4 patients).<jats:italic> Conclusion<\/jats:italic>. The results show that our modified Salter osteotomy is safe and associated with significant benefit for the management of patients suffering from DDH.<\/jats:p>","DOI":"10.1155\/2019\/6021271","type":"journal-article","created":{"date-parts":[[2019,2,6]],"date-time":"2019-02-06T18:31:12Z","timestamp":1549477872000},"page":"1-9","source":"Crossref","is-referenced-by-count":9,"title":["A Newly Modified Salter Osteotomy Technique for Treatment of Developmental Dysplasia of Hip That Is Associated with Decrease in Pressure on Femoral Head and Triradiate Cartilage"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7562-0835","authenticated-orcid":true,"given":"Seyed Mokhtar","family":"Esmaeilnejad-Ganji","sequence":"first","affiliation":[{"name":"Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran"},{"name":"Department of Orthopedics, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4152-5324","authenticated-orcid":true,"given":"Seyed Mohammad Reza","family":"Esmaeilnejad-Ganji","sequence":"additional","affiliation":[{"name":"Boston University School of Medicine, Boston, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1916-3873","authenticated-orcid":true,"given":"Mohammad","family":"Zamani","sequence":"additional","affiliation":[{"name":"Student Research Committee, School of Medicine, Babol University of Medical Sciences, Babol, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7340-0166","authenticated-orcid":true,"given":"Hesam","family":"Alitaleshi","sequence":"additional","affiliation":[{"name":"Student Research Committee, School of Medicine, Babol University of Medical Sciences, Babol, 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