Document Detail

Combined valgus derotation osteotomy and cervical osteoplasty for severely slipped capital femoral epiphysis: mechanical analysis and report preliminary results using compression screw fixation and early weight bearing.
MedLine Citation:
PMID:  679559     Owner:  NLM     Status:  MEDLINE    
Although considerable remodeling can occur in slipped capital femoral epiphysis, it is generally conceded that the severely-slipped epiphysis requires corrective osteotomy to restore adequate range of motion, and to prevent early degenerative changes. A study of artifically-created severe slips in cadaver specimens demonstrated that removal of the cervical prominence, as well as valgus-derotational osteotomy is necessary to restore good range of motion and provide a satisfactory weight-bearing surface. Clinical trial in 6 patients also demonstrated that the cervical prominence is a barrier to flexion, internal rotation, and abduction even after a valgus derotational osteotomy. The Watson-Jones approach afforded adequate exposure of the anterior femoral neck and head as well as the femoral shaft to allow excision of the cervical prominence, insertion of internal fixation, and adjustment of valgus and rotation under direct vision. The Richards compression screw proved to be ideal for fixation in the proper degree of valgus, and for allowing rotary alignment of the distal fragments. Early results were very good, and all patients had near-normal hip flexion, internal rotation, and abduction; and most were able to bear weight in the early postoperative period. The operation appears to offer a workable solution to the problem posed by the severly slipped capital femoral epiphysis, but more definitive conclusions must await the results of a larger series.
L A Whiteside; P L Schoenecker
Related Documents :
15579489 - Deep venous thrombosis revealed during ultrasound-guided femoral nerve block.
1955429 - Ultrasonography in slipped capital femoral epiphysis. diagnosis and assessment of sever...
21773829 - Increase in posterior tibial slope would result in correction loss in frontal plane aft...
21733449 - Osteochondral autograft transplantation for acute osteochondral fractures associated wi...
1918119 - Structural bone-grafting for early atraumatic avascular necrosis of the femoral head.
22494419 - Autologous bone marrow-derived cells with placental extract for healing excisional cuta...
907589 - Marginal alveolar bone loss in flying personnel: a radiographical followup study.
17621739 - The accuracy of pedicle screw placement in thoracic spine using the funnel technique in...
20207929 - Determining risk of vertebral osteoporosis in men: validation of the male osteoporosis ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  0009-921X     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  1978 May 
Date Detail:
Created Date:  1978-10-25     Completed Date:  1978-10-25     Revised Date:  2005-03-03    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  88-97     Citation Subset:  IM; S    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Bone Screws
Epiphyses, Slipped / surgery*
Femur* / surgery
Femur Neck / surgery
Hip Joint / surgery
Osteotomy / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Biomechanical aspects of Salter osteotomy.
Next Document:  Base of the neck extracapsular osteotomy for correction of deformity in slipped capital femoral epip...