title: [Should osteotomy after Imhäuser be performed immediately or only following setting and healing of epiphysiolysis of the head of the femur? (author's transl)].
abstract: In slipping of the femoral epiphysis, operative treatment is necessary when slipping exceeds an amount of 30--40 degrees. Therapeutically, the three dimensional intertrochanteric osteotomy, as performed by Imhäuser since 1950, has shown good results. According to a follow-up study of 130 cases, it seems to be advantageous first to carry out a fixation of the epiphysis. An intertrochanteric osteotomy should be carried out as a second step (usually after 6 to 12 months), as in the meantime an increase in range of motion can be obtained.
mesh_terms: D001696:Biomechanical Phenomena; D002648:Child; D004839:Epiphyses, Slipped / Q000503:physiopathology / Q000601:surgery*; D005270:Femur Head / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D010027:Osteotomy / Q000379:methods*; D013997:Time Factors; D014945:Wound Healing
vernacular_title: Soll die Imhäuser-Osteotomie sofort oder erst nach Fixation und Abheilung der Epiphysiolysis capitis femoris vorgenommen werden?