| Autor: |
Dhar SA; Government Hospital for Bone and Joint Surgery, Bagat Barzullah, Srinagar Kashmir, 190005, India, shabirdhar@yahoo.co.in., Dar TA, Sultan A, Malik AR, Mir MR |
| Jazyk: |
angličtina |
| Zdroj: |
Strategies in trauma and limb reconstruction [Strategies Trauma Limb Reconstr] 2011 Nov; Vol. 6 (3), pp. 155-8. Date of Electronic Publication: 2011 Sep 09. |
| DOI: |
10.1007/s11751-011-0120-5 |
| Abstrakt: |
To report a proximal femoral osteotomy with retention of bone ledges in a reciprocal position to increase bone contact and stability. The method was applied to 5 patients over a 3-year period. All patients had coxa vara. The average length gained was 1.5 cm, and the average neck shaft angle improvement was 30°. The Harris hip score improved from an average of 63 to 82. The reciprocal ledge osteotomy is technically less demanding and also allows conversion of normal shear forces around the upper femur to stabilizing forces. This method allows easier use of the DHS implant as potential rotation about the axis of the screw is negated by the ledges and the dynamic forces. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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