Pelvic support osteotomy for unstable hips using hybrid external fixator: case series and review of literature

Mandar, Agashe; Tong, Xue Bo; Song, Sang Heon; Park, Young Eun; Hong, Jin; Lee, Hanna; Song, Hae Ryong

doi:10.1007/s00776-011-0173-9

Cited by 6 publications

(1 citation statement)

References 12 publications

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“…Traditionally these surgeries were all performed with the use of either monolateral or circular external fixators. 4 Subsequently these techniques have been further modified with the use of internal fixation for acute osteotomies and lengthening performed through an intramedullary lengthening nailing system. 5,6 All these reconstructive options alter the shape of the proximal femur and complicate future salvage surgery, such as a total hip replacement (THR).…”

Section: Introductionmentioning

confidence: 99%

Intramedullary femoral lengthening with an 'unstable' hip without prior stabilisation: preliminary results of a case series

et al. 2017

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Background: Leg length discrepancy due to proximal migration of the femur commonly presents with a short leg gait and symptoms of hip and low back pain. The most common causes are chronic hip dislocation due to developmental dysplasia or the late sequelae of neonatal hip sepsis. It is usually recommended that the hip is stabilised prior to performing limb lengthening, and various techniques have been described. Unfortunately, these methods are not without complications, such as anatomical distortion making future arthroplasty more complex. We recognised a subgroup of these patients in whom the hip appeared unstable on plain film radiography, but in whom there was no proximal migration on weight bearing.

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Section: Introductionmentioning

confidence: 99%

Intramedullary femoral lengthening with an 'unstable' hip without prior stabilisation: preliminary results of a case series

et al. 2017

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Midterm results of Ilizarov hip reconstruction for late sequelae of childhood septic arthritis

El-Rosasy

Ayoub

2014

Strategies in Trauma and Limb Reconstruction

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The management of hip instability as a consequence of septic arthritis in childhood is difficult. Ilizarov hip reconstruction is a double-level femoral osteotomy with the objective of eliminating hip instability, through a proximal valgus–extension–derotation osteotomy and a distal varization–lengthening osteotomy for mechanical axis correction and equalization limb length. Ilizarov hip reconstruction was performed for 16 adult patients with complaints of hip pain, leg-length discrepancy, limping, reduced activity and limited abduction of the hip as a result of childhood septic arthritis. Their ages ranged from 19 to 32 years (mean 23.2 ± 4.2). Ilizarov external fixator was used in all cases. At the time of last follow-up that ranged from 60 to 132 months (mean 85.6 ± 23.5), the Harris hip score (HHS) showed excellent functional outcome in two cases (12.50 %), good in 13 cases (81.25 %) and fair in one case (6.25 %). There was no poor functional outcome in any case. Preoperatively, the mean HHS was 56.18 points, and at the time of last follow-up, it improved to a mean of 84.62 points. Pain subsided in all patients, the Trendelenburg sign became negative in all but three (19 %) patients, no patient had limb-length discrepancy, and the alignment of the extremity was reestablished in all cases. No additional operations were required. Ilizarov hip reconstruction is a valuable and durable solution for the late sequelae of childhood septic arthritis of the hip presenting in adult patients.

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Total hip arthroplasty with femoral subtrochanteric osteotomy after Schanz osteotomy

Sonohata

Kitajima

Tanaka

et al. 2016

Journal of Orthopaedic Science

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Pelvic support osteotomy for unstable hips using hybrid external fixator: case series and review of literature

Cited by 6 publications

References 12 publications

Intramedullary femoral lengthening with an 'unstable' hip without prior stabilisation: preliminary results of a case series

Intramedullary femoral lengthening with an 'unstable' hip without prior stabilisation: preliminary results of a case series

Midterm results of Ilizarov hip reconstruction for late sequelae of childhood septic arthritis

Total hip arthroplasty with femoral subtrochanteric osteotomy after Schanz osteotomy

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