Treatment of Coxa Vara in Children by Means of a Modified Osteotomy

“…These include the Langenskiold intertrochanteric osteotomy, the interlocking intertrochanteric osteotomy, the valgus subtrochanteric osteotomy with blade plate fixation and the Pauwel’s Y- shaped intertrochanteric osteotomy [3, 4, 6, 8, 13–15]. Excellent long-term follow-up has been reported with both the Pauwel’s osteotomy and valgus subtrochanteric osteotomy fixed with a blade plate [4, 6, 8].…”

Section: Discussionmentioning

confidence: 99%

“…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]. The high recurrence rate can be explained by the biomechanics of the underlying disorder.…”

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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“…[1] Bunların başlıcaları, Pauwel intertrokanterik Y osteotomisi [13] ve Borden tarafından tanımlanmış olan subtrokanterik valgus osteotomisidir (Şekil 4-6). [14] Pauwel osteotomisi teknik olarak zordur ve rotasyonel düzeltmeye izin vermez. Osteotomi ile varus düzeltilir-ken, femoral retroversiyon göz önünde bulundurularak, distal parça iç rotasyona alınır.…”

Section: Radyoloji̇k Bulgularunclassified