Table 4.
Studies of acetabular anterior coverage after Salter osteotomy
| Variable | Takashi et al. [12] | Dora et al. [3] | Robb et al. [10] | Barnes et al. [1] | Current study |
|---|---|---|---|---|---|
| Type of surgery | Salter osteotomy | Salter osteotomy, triple pelvic osteotomy | Salter osteotomy | Salter osteotomy | Salter osteotomy, Pemberton acetabuloplasty |
| Number of hips/patients | 30 / 30 | 90 / 73 | 17 / 16 | 36 / 30 | 42 / 42 |
| Mean age of patients at surgery (years) | 6 | 4.8 | 5 | 2.8 | 1.6 |
| Mean followup (years) | 10.4 | 11.5 | 15 | > 40 | 17.7 |
| Measurement method | AP radiograph, computer program [6] | AP radiograph, Hefti template [4] | AP radiograph, Hefti template [4] | AP radiograph, Hefti template [4] | False profile radiograph, direct measurement |
| Radiographic results | Anterior-half coverage of the involved side was greater than the values for the unaffected side; anterior inclination of the distal fragment obtained by Salter osteotomy continues until bone maturation. | Anterior overcoverage after Salter and triple pelvic osteotomy was frequent; acetabular remodeling during growth seems not to be sufficient to correct this malalignment until maturity. | Only 2 patients (12%) showed retroversion; acetabular remodeling may occur with age. | No significant difference between anterior coverage; Salter osteotomy before the age of 5 years did not consistently cause acetabular retroversion that persisted into adulthood. | Acetabular anterior coverage increased after Pemberton acetabuloplasty compared with the nonoperated side and after the Salter acetabuloplasty. |
| Functional results | No functional results were provided. | Only 6 of 26 hips showing anterior overcoverage were available for clinical examination; only one patient reported spontaneously about pain in groin after physical activity. | The mean average Harris hip score was 85; neither of the 2 patients with retroversion had signs of impingement. | No functional results were provided. | The Harris hip score and SF-36 with at least 10 years followup were good and similar for Salter and Pemberton procedures. |