Femoral head reduction osteotomy for the treatment of late sequela of Legg-Calvé-Perthes disease and Perthes-like femoral head deformities

Femoral head reduction osteotomy (FHRO) was described to treat misshapen femoral head that is causing intraarticular hip pain. The published literature showed discrepancies in patient selection, surgical techniques, and decision to perform concurrent acetabular osteotomy. Very few studies used Stand...

Full description

Saved in:
Bibliographic Details
Published inJournal of pediatric orthopaedics. B Vol. 33; no. 4; p. 348
Main Authors Eltayeby, Hady H, El-Adwar, Khaled Loutfy, Ahmed, Amin Abdelrazek, Mosa, Mena Micheal, Standard, Shawn C
Format Journal Article
LanguageEnglish
Published United States 01.07.2024
Subjects
Online AccessGet more information

Cover

Loading…
Abstract Femoral head reduction osteotomy (FHRO) was described to treat misshapen femoral head that is causing intraarticular hip pain. The published literature showed discrepancies in patient selection, surgical techniques, and decision to perform concurrent acetabular osteotomy. Very few studies used Standardized Outcome Measures (SOMs). This study aims to describe the technique of FHRO and report the results of our series of 22 patients using SOMs and compare them to former peer-reviewed articles. Twenty-two hips in 22 patients with hip pain caused by mishshapen femoral were treated with FHRO with or without triple pelvic osteotomy (TPO). Patients with poor hip range of motion and significant hip joint arthritis were excluded. The mean patient age was 15.8 (range, 9.2-23.9). Clinical results were reported using the HHS. Radiographical results were reported by comparing Lateral Center Edge Angle (LCEA), extrusion index, Tonnis angle, head size percent, sphericity index, and distance from tip of trochanter to center of femoral head. The mean follow-up was 3.2 years. Only 5 patients received TPO. The HHS showed statistical improvement from 62.0 to 81.6 (The median interquartile range 63.5-88.5). Five patients had HHS less than 70 at the latest follow up. All radiographic parameters except the Tonnis angle, showed statistically significant improvement. FHRO with or without pelvic osteotomy is a good salvage procedure for patients presenting with misshapen femoral head with intraarticular hip pain, who still have good preoperative ROM with no signs of hip arthritis. Level of evidence: IV.
AbstractList Femoral head reduction osteotomy (FHRO) was described to treat misshapen femoral head that is causing intraarticular hip pain. The published literature showed discrepancies in patient selection, surgical techniques, and decision to perform concurrent acetabular osteotomy. Very few studies used Standardized Outcome Measures (SOMs). This study aims to describe the technique of FHRO and report the results of our series of 22 patients using SOMs and compare them to former peer-reviewed articles. Twenty-two hips in 22 patients with hip pain caused by mishshapen femoral were treated with FHRO with or without triple pelvic osteotomy (TPO). Patients with poor hip range of motion and significant hip joint arthritis were excluded. The mean patient age was 15.8 (range, 9.2-23.9). Clinical results were reported using the HHS. Radiographical results were reported by comparing Lateral Center Edge Angle (LCEA), extrusion index, Tonnis angle, head size percent, sphericity index, and distance from tip of trochanter to center of femoral head. The mean follow-up was 3.2 years. Only 5 patients received TPO. The HHS showed statistical improvement from 62.0 to 81.6 (The median interquartile range 63.5-88.5). Five patients had HHS less than 70 at the latest follow up. All radiographic parameters except the Tonnis angle, showed statistically significant improvement. FHRO with or without pelvic osteotomy is a good salvage procedure for patients presenting with misshapen femoral head with intraarticular hip pain, who still have good preoperative ROM with no signs of hip arthritis. Level of evidence: IV.
Author Standard, Shawn C
Mosa, Mena Micheal
Eltayeby, Hady H
El-Adwar, Khaled Loutfy
Ahmed, Amin Abdelrazek
Author_xml – sequence: 1
  givenname: Hady H
  surname: Eltayeby
  fullname: Eltayeby, Hady H
  organization: Department of Orthopedics, Alexandria University, Alexandria, Egypt
– sequence: 2
  givenname: Khaled Loutfy
  surname: El-Adwar
  fullname: El-Adwar, Khaled Loutfy
  organization: Department of Orthopedics, Alexandria University, Alexandria, Egypt
– sequence: 3
  givenname: Amin Abdelrazek
  surname: Ahmed
  fullname: Ahmed, Amin Abdelrazek
  organization: Department of Orthopedics, Alexandria University, Alexandria, Egypt
– sequence: 4
  givenname: Mena Micheal
  surname: Mosa
  fullname: Mosa, Mena Micheal
  organization: Department of Orthopedics, Alexandria University, Alexandria, Egypt
– sequence: 5
  givenname: Shawn C
  surname: Standard
  fullname: Standard, Shawn C
  organization: International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/37477108$$D View this record in MEDLINE/PubMed
BookMark eNpNUF1KAzEYDKLYH72BSC6Qmp_dpPtoi1WhYB_0uXzdfGlXdzc1SYWewZN4Di_mihU6L8MMwwzMgJy2vkVCrgQfCV6Ym8liMuJHEJ17QvoiM4rlY533yCDGV84lF0V-TnrKZMYIPu6Tzxk2PkBNNwiWBrS7MlW-pT4m9Mk3e-p8oGmDNAWE1GCbqHe0hoQ04vsOa_jVc1yv2RTqj-8vtsDQ5SO1VUSISKG19OCxunpD6o4nLXYDTZUqjBfkzEEd8fLAQ_Iyu3uePrD50_3j9HbOSjmWimmeWZAcSq41lkWeKZUXoPQKCydQS5UJo0F1F-Sua7e20FyvuHZGWpdZIYfk-q93u1s1aJfbUDUQ9sv_V-QPlftnvA
CitedBy_id crossref_primary_10_1302_0301_620X_106B5_BJJ_2023_0853_R1
ContentType Journal Article
Copyright Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Copyright_xml – notice: Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
DBID CGR
CUY
CVF
ECM
EIF
NPM
DOI 10.1097/BPB.0000000000001109
DatabaseName Medline
MEDLINE
MEDLINE (Ovid)
MEDLINE
MEDLINE
PubMed
DatabaseTitle MEDLINE
Medline Complete
MEDLINE with Full Text
PubMed
MEDLINE (Ovid)
DatabaseTitleList MEDLINE
Database_xml – sequence: 1
  dbid: NPM
  name: PubMed
  url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed
  sourceTypes: Index Database
– sequence: 2
  dbid: EIF
  name: MEDLINE
  url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search
  sourceTypes: Index Database
DeliveryMethod no_fulltext_linktorsrc
Discipline Medicine
EISSN 1473-5865
ExternalDocumentID 37477108
Genre Journal Article
GroupedDBID ---
.Z2
0R~
5GY
5VS
8L-
AAAAV
AAHPQ
AAIQE
AARTV
AASCR
AAWTL
ABASU
ABBUW
ABDIG
ABJNI
ABVCZ
ABXVJ
ABZAD
ACDDN
ACEWG
ACILI
ACWDW
ACWRI
ACXJB
ACXNZ
ADGGA
ADHPY
AE6
AFDTB
AGINI
AHQNM
AHVBC
AINUH
AJIOK
AJNWD
AJZMW
ALMA_UNASSIGNED_HOLDINGS
ALMTX
AMJPA
AMKUR
AMNEI
AOHHW
AWKKM
BQLVK
C45
CGR
CS3
CUY
CVF
DIWNM
E.X
EBS
ECM
EEVPB
EIF
EX3
F2K
F2L
FCALG
FL-
GNXGY
GQDEL
H0~
HLJTE
HZ~
IKREB
IN~
JK3
KD2
KMI
L-C
NPM
O9-
ODA
OHH
OJAPA
OL1
OLG
OLV
OLZ
OPUJH
OVD
OVDNE
OXXIT
P2P
R2J
RIG
RLZ
S4R
S4S
TEORI
TSPGW
V2I
W3M
WOQ
WOW
X3V
X3W
YFH
ID FETCH-LOGICAL-c2823-604da20ac066ec9543359a36be9f1e6234176a31095fdefdd9606b06f72df4d12
IngestDate Sat Nov 02 12:04:13 EDT 2024
IsPeerReviewed true
IsScholarly true
Issue 4
Language English
License Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-c2823-604da20ac066ec9543359a36be9f1e6234176a31095fdefdd9606b06f72df4d12
PMID 37477108
ParticipantIDs pubmed_primary_37477108
PublicationCentury 2000
PublicationDate 2024-07-01
PublicationDateYYYYMMDD 2024-07-01
PublicationDate_xml – month: 07
  year: 2024
  text: 2024-07-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Journal of pediatric orthopaedics. B
PublicationTitleAlternate J Pediatr Orthop B
PublicationYear 2024
SSID ssj0020195
Score 2.4062536
Snippet Femoral head reduction osteotomy (FHRO) was described to treat misshapen femoral head that is causing intraarticular hip pain. The published literature showed...
SourceID pubmed
SourceType Index Database
StartPage 348
SubjectTerms Adolescent
Child
Female
Femur Head - diagnostic imaging
Femur Head - surgery
Follow-Up Studies
Humans
Legg-Calve-Perthes Disease - diagnostic imaging
Legg-Calve-Perthes Disease - surgery
Male
Osteotomy - methods
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Young Adult
Title Femoral head reduction osteotomy for the treatment of late sequela of Legg-Calvé-Perthes disease and Perthes-like femoral head deformities
URI https://www.ncbi.nlm.nih.gov/pubmed/37477108
Volume 33
hasFullText
inHoldings 1
isFullTextHit
isPrint
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3JbtswECWcFghyKbq36QIeehOYaqEk--gEDoKiDnJIgNwCShwmRWXLiJUCzi_kS_od_Yz-TGdIShbSBF18EGzKpgzOw_BxVsY-RCXuqyqSAsmGFNKUShTIqoUOpYShQgKryN4xPcwOTuSn0_R0MPjZi1q6aoqd8vrOvJL_kSqOoVwpS_YfJNtNigP4HuWLV5QwXv9KxvsUJuuSGSkJRbtKsAHlbdRNPVt1MYTrcHLkhhXSy8CGUFfKugjg_Fzsqeqbc5qLI7jE3yxb343LJ3BjovryFQLTf6wGor22Lus9RHfRdgMJyEeEh3TyDS131v2eJ1WjVuBKfKImXK0TJiaVGFNXaauOLnAv08Hn-qoxnR9gfDFz1trxjAw3hYbqUl1Dl340rZeWHU9hrmyKAPg19YaOWHZBsbhPOeUs80SkQ9dbotXeroyGR6nsqeLEVfD8bYtwpYd3j3Zd6Ur_osKr_a-joBczC5sE8Yo0bPjnu7cKd7e3NthGPqSuIodkSPK2AMrTbDM5R_nHu_7OFttsp7h15rHc5_gxe-RlyccOgU_YAOZP2ebUh2U8YzceiJwQwTsg8g6IHDHCEUC8AyKvDScgcg9E-twB8cf3FoTcg5AjCHkfhNz0H9kD4XN2sj853jsQvsuHKPG4n4gslFrFoSqR_EI5SmWSpCOVZAWMTATIzmWUZ4oK2KYGZ9OaztxFmJk81kbqKH7BHszrObxiPIo10ucUCq0yW9gSkIlojRS9BBOG8Jq9dMt4tnClXM7aBd6-984btrUG41v20KDugHdIRJvivRXpL8ihi2M
link.rule.ids 780
linkProvider National Library of Medicine
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Femoral+head+reduction+osteotomy+for+the+treatment+of+late+sequela+of+Legg-Calv%C3%A9-Perthes+disease+and+Perthes-like+femoral+head+deformities&rft.jtitle=Journal+of+pediatric+orthopaedics.+B&rft.au=Eltayeby%2C+Hady+H&rft.au=El-Adwar%2C+Khaled+Loutfy&rft.au=Ahmed%2C+Amin+Abdelrazek&rft.au=Mosa%2C+Mena+Micheal&rft.date=2024-07-01&rft.eissn=1473-5865&rft.volume=33&rft.issue=4&rft.spage=348&rft_id=info:doi/10.1097%2FBPB.0000000000001109&rft_id=info%3Apmid%2F37477108&rft_id=info%3Apmid%2F37477108&rft.externalDocID=37477108