title: A modified technique for reconstruction of the femoral neck in paediatric patients.
abstract: Hip deformities during early childhood following Perthes' disease, congenital dislocation or septic arthritis are not rare, causing limitation of motion and limping. A number of proximal femoral osteotomies to address residual deformities have been described, but the outcome has been variable. We describe a proximal femoral osteotomy aimed at restoring a more anatomic insertion of the gluteus medius. The clinical and radiographic results thus far are promising. We believe that the technique improves both the anatomy and biomechanics of the hip.
authors.affiliation: Department of Paediatric Orthopaedics and Traumatology, Rizzoli Orthopedic Institute, Bologna, Italy. rolando.libri@ior.it
authors.forename: Rolando
authors.initials: R
authors.lastname: Libri
authors.forename: Leonardo
authors.initials: L
authors.lastname: Marchesini Reggiani
mesh_terms: D002081:Buttocks; D002648:Child; D005260:Female; D005272:Femur Neck / Q000601:surgery*; D006618:Hip Dislocation, Congenital / Q000503:physiopathology / Q000601:surgery*; D006621:Hip Joint / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007873:Legg-Calve-Perthes Disease / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D018482:Muscle, Skeletal / Q000473:pathology / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures