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 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.
Papavasiliou
V A
VA
Paediatric Orthopaedic Department, Aristotle University of Thessaloniki, Greece.
Kirkos
J M
JM
D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D005260:Female; D005272:Femur Neck / Q000601:surgery*; D006618:Hip Dislocation, Congenital / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000150:complications* / Q000503:physiopathology; D008297:Male; D010027:Osteotomy / Q000379:methods*; D011859:Radiography