Late Results After Subtrochanteric Angulation Osteotomy in Young Patients
Autor: | Claus Carstens, Lukoschek M, Marcus Schiltenwolf, Bernd L |
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Rok vydání: | 1996 |
Předmět: |
Adult
musculoskeletal diseases medicine.medical_specialty Adolescent Pain Pelvic wall Resection Femoral head Humans Medicine Orthopedics and Sports Medicine Angulation osteotomy Child Gait Hip Dislocation Congenital business.industry Late results Biomechanical Phenomena Osteotomy Surgery Radiography Conservative treatment medicine.anatomical_structure Pediatrics Perinatology and Child Health business Range of motion Follow-Up Studies |
Zdroj: | Journal of Pediatric Orthopaedics B. 5:266-270 |
ISSN: | 1060-152X |
DOI: | 10.1097/01202412-199605040-00008 |
Popis: | Young patients with painful congenital dislocation of the hips need surgery if conservative treatment is unsuccessful. A total of 24 patients after 28 subtrochanteric angulation osteotomies without resection of the femoral head were followed up (mean, 17 years) to evaluate long-term results. Most patients maintain improved function: 20 hips showed persistent gain of abduction, 14 patients showed improvement of gait, and 18 patients described less pain. The degree of angulation must equal the inclination of the pelvic wall to influence hip stability as well as hip range of motion. Osseous reactions of support-seen in 10 hips-are not proof of operative success. Angulation osteotomy does not exclude later surgical procedures such as total hip replacement. |
Databáze: | OpenAIRE |
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