The Treatment of Developmental Coxa Vara by Abduction Subtrochanteric and Intertrochanteric Femoral Osteotomy With Special Reference to the Role of Adductor Tenotomy

Weighill, F. J.

doi:10.1097/00003086-197605000-00019

Cited by 7 publications

(10 citation statements)

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“…Most of these studies include a small number of cases [1][2][3][4][5][6] and only 4 studies comprise 20 or more cases. [7][8][9][10] As the few cases that have been written up in the international journals are caused by a multitude of underlying diseases, it is also not astonishing that no broadly accepted classification exists. Therefore, we would like to propose the following: 1.…”

mentioning

confidence: 99%

Midterm Results After Subtrochanteric End-to-Side Valgization Osteotomy in Severe Infantile Coxa Vara

Günther

Komm²,

Jansson³

et al. 2013

Journal of Pediatric Orthopaedics

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mentioning

confidence: 99%

Midterm Results After Subtrochanteric End-to-Side Valgization Osteotomy in Severe Infantile Coxa Vara

Günther

Komm²,

Jansson³

et al. 2013

Journal of Pediatric Orthopaedics

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“…Many different implants have been used for the fixation of proximal femoral valgisation osteotomies [2–4, 11–13, 15, 16, 18, 20–25] with variable success and high recurrence rates [17, 19, 20]. However, none of the reported techniques appeared to be superior, and complication rates up to 42 % have been described [1, 3, 4, 13, 15, 17, 18].…”

Section: Introductionmentioning

confidence: 99%

“…Femoral osteotomy is one of the most widely performed reconstructive operations in pediatric orthopedic surgery [ 1 – 3 , 21 ], with applications in a variety of congenital disorders such as developmental dysplasia of the hip, congenital coxa vara, and neuromuscular diseases including cerebral palsy (CP) and spina bifida, but also in acquired conditions including Perthes’ disease, slipped capital femoral epiphysis, and deformity after infection or traumatic injury [ 3 , 11 – 13 , 21 – 24 ]. Many different implants have been used for the fixation of proximal femoral valgisation osteotomies [ 2 – 4 , 11 – 13 , 15 , 16 , 18 , 20 – 25 ] with variable success and high recurrence rates [ 17 , 19 , 20 ]. However, none of the reported techniques appeared to be superior, and complication rates up to 42 % have been described [ 1 , 3 , 4 , 13 , 15 , 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

LCP 140° Pediatric Hip Plate for fixation of proximal femoral valgisation osteotomy

Sidler-Maier

Reidy

Huber

et al. 2014

Journal of Children's Orthopaedics

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PurposeFemoral osteotomy is one of the most widely performed reconstructive operations in pediatric orthopedic surgery. Many implants for fixation have been used, but so far there is no literature about the application and outcome of the LCP 140° Pediatric Hip Plate for proximal femoral valgisation in children.MethodsData of patients with a valgisation of the proximal femur using the LCP 140° Pediatric Hip Plate between February 2011 and July 2012 were retrospectively collected and analyzed.ResultsWe included 10 patients (11 hips) with a mean follow-up of 15.3 ± 6.3 months (range 5.6–23 months). The mean age was 9.6 ± 1.2 years (range 7.3–11.8 years) with a mean hospital stay of 5.2 ± 1.7 days (range 3–9 days). Callus formation was observed in all cases at 6 weeks postoperative control and consolidation was shown after a mean time of 14.1 ± 2.3 weeks (range 12.1–19.1 weeks). There was no delayed union or any case of non-union in our series. The stability of the operative reduction including the corrected neck-shaft angle (mean 19° ± 7.9°; range 10.5°–38.5°) was maintained during the follow-up period. No cases of recurrence (varisation) or complications requiring further treatment or revision were observed.ConclusionsIn our series, the 140° LCP Pediatric Hip Plate was shown to be safe and applicable in the clinical setting with good results. We therefore consider this device to be valuable for the correction of pathologic varus conditions of the proximal femur in children.

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“…Secondary acetabular dysplasia and genu valgum may compound the problem. With the exception of some forms of developmental coxa vara which can resolve, a variety of surgical methods have evolved to deal with progressive coxa vara [1–5]. Despite well-executed osteotomies, recurrence is cited in the literature as ranging from 30 to 70 % [1, 3, 4, 6].…”

Section: Introductionmentioning

confidence: 99%

Valgus osteotomy by external fixation for treatment for developmental coxa vara

Hefny¹,

Elmoatasem²,

Nassar³

2013

Strategies in Trauma and Limb Reconstruction

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Valgus subtrochanteric osteotomy is the standard surgical treatment for coxa vara. Nevertheless, there is no consensus on the method of fixation and osteotomy technique. There are some reports on employing rigid internal fixation methods that preclude the need of postoperative immobilization. This is a technical description of a valgus osteotomy performed using external fixation with preoperative and postoperative data on a cohort of 9 patients. In this study, 9 hips in 9 patients with the diagnosis of developmental coxa vara underwent a subtrochanteric osteotomy with stabilization by an external fixator. The planned correction angle was obtained for all 9 patients with the osteotomies healing primarily. Radiographic analysis showed an improvement in Hilgenreiner’s epiphyseal angle and the neck-shaft angle. There were no major complications associated with use of this method of stabilization. Minimal access surgery using external fixation for a valgus osteotomy of the proximal femur is safe and effective for the treatment for coxa vara and limb length discrepancy. It has potential advantages over commonly used open techniques and provides available alternative to currently applied methods used for fixation of proximal femoral osteotomies.

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The Treatment of Developmental Coxa Vara by Abduction Subtrochanteric and Intertrochanteric Femoral Osteotomy With Special Reference to the Role of Adductor Tenotomy

Cited by 7 publications

References 0 publications

Midterm Results After Subtrochanteric End-to-Side Valgization Osteotomy in Severe Infantile Coxa Vara

Midterm Results After Subtrochanteric End-to-Side Valgization Osteotomy in Severe Infantile Coxa Vara

LCP 140° Pediatric Hip Plate for fixation of proximal femoral valgisation osteotomy

Valgus osteotomy by external fixation for treatment for developmental coxa vara

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