Treatment of developmental dysplasia of the hip (DDH) is based on concentric reducibility of the femoral head, patient age and the status of triradiate cartilage. Patients in walking age are indicated for pelvic osteotomy to correct the dysplastic acetabulum. Salter innominate osteotomy and Pemberton osteotomy are the most widely used procedures to treat the developmental dysplasia of the hip in early childhood. Although short-term results of the pelvic osteotomies are reported well, some long-term sequalae such as coxa valga caused by Kalamchi type II osteonecrosis of the femoral head, leg length discrepancy and impingement of hip may occur.
Part of the book: Developmental Diseases of the Hip