الفهرس 
Developmental Hip DysplasiaOnly 14 pages are availabe for public view
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Abstract
Background: The early treatment of developmental hip dysplasia is our goal to achieve concentric hip reduction and normal hip anatomy and function. Many osteotomies were used to achieve our goal, the most common techniques are used for maintaining this reduction, are Dega and Salter osteotomies. For this reason we have done our systematic review and meta-analysis to figure which technique has better radiological and clinical results with less complications.
Aim: The aim of the work is to review the difference between Dega and Salter Osteotomy according to surgical techniques, Suitable age of each technique, Advantages and disadvantages for each technique, Final clinical and radiographic outcomes and Complications.
Subject and Methods: This study performed a search for all published articles that evaluated Dega or Salter osteotomy in the management of developmental dysplasia of the hip.
Results: from a total of 879 articles, 24 with level of evidence grade IV articles were included in our review. A total of 1212 hips cases with a mean follow up of 294.5 months were included.
For Severin score, we did not find significant difference after performing both techniques regarding hips with grade 1; Salter [OR = 0. 62, (95% CI= 0.47: 0.77), I2=96.46%, P<0.001)] and Dega [OR = 0.65, (95% CI= 0.46: 0.84), I2=92.85%, P<0.001)]
Also the proportion of hips with grade 4 was nearly similar in both groups; Salter [OR = 0. 02, (95% CI= 0.01: 0.03), I2=0%, P=0.51)] and Dega [OR = 0.02, (95% CI= 0.003: 0.04), I2=11.61%, P=0.34)].
For McKay score, we did not find significant difference after performing both techniques regarding hips with excellent classification; Salter [OR = 0. 50, (95% CI= 0.28: 0.72), I2=98.1%, P<0.001)] and Dega [OR = 0.40, (95% CI= 0.16: 0.64), I2=95.56%, P<0.001)]. In term of hips with poor classifications both techniques performed equally; Salter [OR = 0. 027, (95% CI= 0.013: 0.04), I2=0%, P=0.67)] and Dega [OR = 0.04, (95% CI= 0.003: 0.082), I2=74.78, P=0.001)].
Conclusion: Based on the information in our publication, we believe that Salter and Dega are well-established surgical treatments for hip dysplasia with comparable efficacy. Dega demonstrates marginally superior radiological and clinical data.