Management of Coxa Vara Septica and Pseudoarthrosis of the Femoral Neck: A Case Report
| Autor: | Cen Bytyqi, Hasime Qorraj Bytyqi |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
musculoskeletal diseases
Coxa Vara medicine.medical_specialty medicine.medical_treatment Coxa vara Bone grafting Osteotomy 03 medical and health sciences Femoral head 0302 clinical medicine Medicine Humans Femur Femoral neck 030222 orthopedics Arthritis Infectious biology business.industry Femur Neck Infant 030229 sport sciences General Medicine Articles biology.organism_classification medicine.disease Surgery Leg Length Inequality Valgus Pseudarthrosis medicine.anatomical_structure Tenotomy Female Trendelenburg gait medicine.symptom business |
| Zdroj: | The American Journal of Case Reports |
| ISSN: | 1941-5923 |
| Popis: | Patient: Female, 12 Final Diagnosis: Coxa vara and pseudoarthrosis of the femoral neck Symptoms: Limp Medication: — Clinical Procedure: — Specialty: Orthopedics and Traumatology Objective: Unusual or unexpected effect of treatment Background: Coxa vara and pseudoarthrosis of the femoral neck after septic hip arthritis is a very rare disease. The aim of this study was to present a case with pseudoarthrosis of the femoral neck, with coxa vara after neonatal septic arthritis of the right hip, and treatment of the pseudarthrosis with proximal femoral valgus osteotomy. Case Rrport: A 12-month-old female, who had suffered neonatal septic arthritis with a five-day history of fever and painful right hip now demonstrated painless limping to the right hip, pelvic obliquity, Trendelenburg-Duchenne gait, limitation of hip abduction, lower-extremity length discrepancy with 3.0 cm of shortening of right femur, and walking on her tiptoes. In addition, a viable femoral head, coxa vara, and pseudoarthrosis of the femoral neck were observed. At the age of 26-months, the patient had a realignment valgus osteotomy of the proximal femur and adductor tenotomy was performed. At the last follow-up postoperative evaluation, at the age of four and a half years, the patient showed successful consolidation of pseudoarthrosis, correction of Trendelenburg gait, restored right lower extremity alignment, and corrected lower-extremity length discrepancy. Conclusions: In the case of coxa vara and pseudoarthrosis of the femoral neck, realignment of the proximal femoral valgus osteotomy and bone grafting of the pseudoarthrosis resulted in ossification of the femoral neck as the epiphyseal plate was placed at right angle to the compressive forces. |
| Databáze: | OpenAIRE |
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