Comparative Study between Salter and Dega Osteotomy’s in the Management of Developmental Dysplasia of the Hip in Walking Age Children

Osteotomies of the pelvis have been reported as a common method of treating DDH. Their goal is to strengthen the sacroiliac and coxofemoral joints so that the femoral head is better protected. Concentric reduction of the hip is the major goal of therapy since it improves both functional and anatomical outcomes. After receiving clearance from the local committee and obtaining informed consent, this comparative research was carried out. Between April 2021 and October 2022, 20 DDH patients aged 1 to 4 years old participated in this research. By comparison between types of fixations, patients’ complications and regarding clinical evaluation there was no statistically significant difference between Salter osteotomy and Dega acetabuloplasty regarding hip stability at the final examination. For the treatment of DDH in young children, we may conclude that both the Salter and the Dega pelvic osteotomy provide equivalent results with an acceptable minimal incidence of postoperative problems. The downside of Salter osteotomy is that hardware must be removed during a second operation, which is not the case with Dega osteotomy.