Reconstruction of residual deformities of the hip. A new surgical option

Shortening of the femoral neck and relative overgrowth of the greater trochanter are the main problems after avascular necrosis of the capital femoral epiphysis. A new type of femoral osteotomy was performed in 16 patients to lengthen the femoral neck, improve the biomechanics of the hip joint with...

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Bibliographic Details
Published inClinical orthopaedics and related research no. 341; p. 123
Main Authors Papavasiliou, V A, Kirkos, J M
Format Journal Article
LanguageEnglish
Published United States 01.08.1997
Subjects
Adolescent
Adult
Biomechanical Phenomena
Female
Femur Neck - surgery
Hip Dislocation, Congenital - complications
Hip Dislocation, Congenital - diagnostic imaging
Hip Dislocation, Congenital - physiopathology
Hip Joint - diagnostic imaging
Hip Joint - physiopathology
Humans
Legg-Calve-Perthes Disease - complications
Legg-Calve-Perthes Disease - physiopathology
Male
Osteotomy - methods
Radiography
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Summary:Shortening of the femoral neck and relative overgrowth of the greater trochanter are the main problems after avascular necrosis of the capital femoral epiphysis. A new type of femoral osteotomy was performed in 16 patients to lengthen the femoral neck, improve the biomechanics of the hip joint with a better congruity of the head, and to restore the leg length discrepancy. Clinical and radiologic followup showed good results in all the patients after a mean time of 4.3 years. Relief of pain, a negative Trendelenburg sign, and improvement of hip movements, particularly abduction, were the most significant short term results.
ISSN:0009-921X
1528-1132
DOI:10.1097/00003086-199708000-00019