New femoral derotation technique based on guided growth in children
| Autor: | Jean-Damien Metaizeau, Delphy Denis, David Louis |
|---|---|
| Přispěvatelé: | Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon) |
| Rok vydání: | 2019 |
| Předmět: |
Male
Torsion Abnormality medicine.medical_specialty Percutaneous Knee Joint [SDV]Life Sciences [q-bio] medicine.medical_treatment Osteotomy medicine.disease_cause Weight-bearing 03 medical and health sciences 0302 clinical medicine Guided growth medicine Humans Orthopedics and Sports Medicine Femur Axial growth Child Physis Paediatric patients 030222 orthopedics business.industry 030229 sport sciences Surgery Radiography Female Complication business |
| Zdroj: | Orthopaedics and Traumatology-Surgery and Research Orthopaedics and Traumatology-Surgery and Research, Elsevier, 2019, 105, pp.1175-1179. ⟨10.1016/j.otsr.2019.06.005⟩ |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2019.06.005 |
| Popis: | Derotation osteotomy is the only available treatment for medial femoral torsion in paediatric patients. To eliminate the need for postoperative immobilisation and to allow immediate weight bearing, we suggest a new technique that guides femoral growth. The goal is to convert part of the axial growth into rotation by placing a system composed of two screws and a cable around the distal femoral physis. We used this percutaneous technique to treat 20 knees in 11 children. The preliminary outcomes indicate good efficacy with about 1.2° of derotation per month and a total mean derotation of 25° over 22 months. Postoperative stiffness was the main complication but resolved with physical therapy. This technique may therefore constitute an alternative to derotation osteotomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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