Salter’s pelvic osteotomy is done for treatment of –
**Core Concept**
Salter's pelvic osteotomy is a surgical procedure used to correct hip dysplasia in infants and young children. This procedure involves cutting and reshaping the pelvis to improve the alignment of the hip joint and facilitate proper growth and development.
**Why the Correct Answer is Right**
Salter's osteotomy is specifically indicated for the treatment of developmental dysplasia of the hip (DDH). The procedure involves a triple incision approach to the pelvis, where the acetabulum is mobilized and the femoral head is reduced into the acetabulum. This allows for proper growth and development of the hip joint, reducing the risk of osteoarthritis and other complications. The surgery is typically performed in infants and young children, before the age of 2-3 years, when the hip joint is still in a developmental stage.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because Salter's osteotomy is not typically used for the treatment of slipped capital femoral epiphysis (SCFE), which is a different condition that affects the femoral head.
**Option B:** This option is incorrect because Salter's osteotomy is not a procedure used for the treatment of osteoarthritis, which is a degenerative joint disease that affects the hip joint in older adults.
**Option C:** This option is incorrect because Salter's osteotomy is not a procedure used for the treatment of femoral neck fractures, which are a type of bone fracture that affects the femur.
**Clinical Pearl / High-Yield Fact**
Salter's osteotomy is a highly effective procedure for treating developmental dysplasia of the hip, with a success rate of over 90%. However, it requires careful planning and execution to avoid complications and ensure proper healing.
**Correct Answer: C. Perthes disease.**