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The Salter osteotomy is a redirection osteotomy where the iliac (innominate) bone is divided from the sciatic notch to the anterior inferior iliac spine. An opening wedge osteotomy is performed inserting a triangular graft harvested from the iliac wing. The osteotomy results in improved anterolateral coverage of the femoral head as the distal fragment hinges on the symphysis pubis and SI joint. Unlike an acetabuloplasty which reduces the volume of the acetabulum, the Salter osteotomy is purely redirectional.
Although the operation may be performed in isolation it can be performed concurrently with an open reduction of the hip for late presenting hip dislocation.
The operation was originally described for children aged 18 months and above. It has been utilised for the treatment of acetabular dysplasia in adults but in this age group has been largely superseded by periacetabular and triple pelvic osteotomies.
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Question 1 of 12
Regarding indications which one of the following is trueCorrectIncorrect
Question 2 of 12
Which one of the following is not true about a Salter osteotomy ?CorrectIncorrect
Question 3 of 12
Regarding imaging, which one of the following is true?CorrectIncorrect
Question 4 of 12
Which one of the following describes how a patient be prepared and draped?CorrectIncorrect
Question 5 of 12
Which one of the following best describes the surgical incision?CorrectIncorrect
Question 6 of 12
Which one of the following is not true regarding the superficial dissection for A Salters osteotomy ?CorrectIncorrect
Question 7 of 12
Regarding the surgical technique, which of the following is not true about the Psoas tendon ?CorrectIncorrect
Question 8 of 12
Which one of the following is true regarding exposure of the iliac bone ?CorrectIncorrect
Question 9 of 12
Regarding surgical technique, which of the following is true?CorrectIncorrect
Question 10 of 12
Which one of the following manoeuvres does not aid in displacing the osteotomyCorrectIncorrect
Question 11 of 12
Which one of the following is true concerning maintaining stability of the osteotomyCorrectIncorrect
Question 12 of 12
Which one of the following statements is not true?CorrectIncorrect