Abstract
Introduction & Discussion: From an experience of over 250 Salter osteotomies, 148 of which have been reviewed at skeletal maturity, certain technical tips merit discussion:-
Preoperative positioning and the incision
Psoas tenotomy, capsular exposure and the capsulotomy
Facilitation of the Gigli saw osteotomy
Sizing and procurement of the graft
Displacement and fixation of the osteotomy
Application of the hip spica
Some questions are worthy of debate:-
Can the osteotomy be safely combined with open reduction of the high dislocation?
Should the osteotomy be fixed before reducing the femoral head?
Are there alternatives to autogenous bone graft and K-wire fixation?
Is minimally invasive surgery an option?
Are the contraindications and alternatives to the Salter osteotomy fully appreciated?
The abstracts were prepared by Editorial Secretary, Mr Robin W Paton. Correspondence should be addressed to BSCOS at the Royal College of Surgeons, 35– 43 Lincoln’s Inn Fields, London WC2A 3PN
