title: Pauwels' osteotomy for surgical correction of infantile coxa vara.
abstract: Infantile coxa vara can be corrected by valgus osteotomies, but recurrence is high. Achieving an Hilgenreiner epiphyseal angle (HEA) of 40° or less prevents recurrence. In this study, Pauwels' osteotomy is stabilized using a rigid method of fixation. The aim of the study is to confirm previous reports regarding the correction of the physeal inclination to 40° or less to prevent recurrence. Thirty-one hips with infantile coxa vara were subjected to an intertrochanteric Y-shaped valgus osteotomy. In 27 hips, the HEA was corrected to 40° or less and none had a recurrence. This study confirms previous recommendations regarding the correction of HEA to 40° or less to avoid recurrence.
authors.affiliation: Department of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt. drtarekibrahim@hotmail.com
authors.forename: Tarek Hassan
authors.initials: TH
authors.lastname: Abdelaziz
authors.forename: Mohamed M
authors.initials: MM
authors.lastname: El-Sayed
mesh_terms: D000203:Activities of Daily Living; D002648:Child; D002675:Child, Preschool; D060905:Coxa Vara / Q000473:pathology / Q000601:surgery*; D005260:Female; D006621:Hip Joint / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D010146:Pain / Q000175:diagnosis / Q000503:physiopathology; D011446:Prospective Studies; D020127:Recovery of Function; D055502:Secondary Prevention; D013530:Surgical Wound Infection; D016896:Treatment Outcome