Document Detail

Modified technique for varus derotation osteotomy of the proximal femur in children.
MedLine Citation:
PMID:  11736826     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The results of a study in which the Richards' intermediate hip screw and the AO (Association for the Study of Internal Fixation (ASIF)) 908 fixed-angle blade plate were compared for use in proximal femoral osteotomy in children have previously been reported. In that study loss of position at the osteotomy site was reported as a specific complication associated with the use of the Richards' intermediate hip screw. METHODS: The authors devised a simple modification of surgical technique using the Richards' intermediate hip screw to enhance the stability of the fixation. In the present article the results of a prospective study of that modified technique are reported and compared with the results of the previous study. RESULTS: During a 2-year period 24 proximal femoral osteotomies were performed on 12 children with cerebral palsy, using the modified technique by two surgeons. Only two of the 12 patients (16%) required postoperative immobilization in a hip spica cast. This represents a significant reduction in the level of spica casting when compared with the previous cohort study (61%). CONCLUSION: A simple modification of surgical technique improves the stability of fixation in proximal femoral osteotomy in children who have cerebral palsy. This resulted in a decreased need for supplementary hip spica casting and may reduce morbidity.
A J Wilkinson; G R Nattrass; H K Graham
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  ANZ journal of surgery     Volume:  71     ISSN:  1445-1433     ISO Abbreviation:  ANZ J Surg     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-12-12     Completed Date:  2002-01-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101086634     Medline TA:  ANZ J Surg     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  655-8     Citation Subset:  IM    
Department of Orthopaedics, Royal Children's Hospital, Parkville, Victoria, Australia.
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MeSH Terms
Bone Plates*
Bone Screws*
Casts, Surgical
Cerebral Palsy / complications
Femur / surgery*
Hip Dislocation / etiology,  surgery*
Osteotomy / methods*
Prospective Studies

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