Multiple osteotomies and intramedullary nailing with neck cross-pinning for shepherd's crook deformity in polyostotic fibrous dysplasia: 7 femurs with a minimum of 2 years follow-up
| Autor: | Hyoung-Yeon Seo, Keun-Young Lim, Bong-Hyun Bae, Jae Yoon Chung, Sung-Taek Jung |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Bone Screws Coxa vara Bone Nails Osteotomy Fibrous Dysplasia Polyostotic law.invention Intramedullary rod stomatognathic system law Activities of Daily Living medicine Deformity Humans Orthopedics and Sports Medicine Femur Polyostotic fibrous dysplasia business.industry Femur Neck Fibrous dysplasia technology industry and agriculture General Medicine Middle Aged medicine.disease Surgery Radiography Treatment Outcome Orthopedic surgery Female medicine.symptom business Femoral Fractures Follow-Up Studies |
| Zdroj: | Acta orthopaedica. 77(3) |
| ISSN: | 1745-3674 |
| Popis: | In polyostotic fibrous dysplasia, particularly in lesions of the proximal femur, pathological fracture and coxa vara deformity (including shepherd's crook deformity) are likely to develop and progress.In 7 femurs with shepherd's crook deformity (5 patients), we performed intramedullary nailing by using multiple osteotomies and two screws crossing the femoral neck.Restoration of the neck shaft angle of the femur was obtained from an average of 92 degrees prior to surgery to 129 degrees after surgery. During the minimum 2-year follow up, no loss of neck shaft angle of the femur and no refracture occurred. All patients were able to return to normal activities of daily living.In polyostotic fibrous dysplasia, multiple osteotomies and intramedullary nailing with neck cross-pinning can be used to correct developed or progressing shepherd's crook deformity, and to prevent recurrence and refracture. |
| Databáze: | OpenAIRE |
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