Background. The combination of Dega transililiac and femoral subtrochanteric is used in our department in the treatment of Legg-Calvé-Perthes' disease. Subtrochanteric osteotomy, initially performed as varus-derotation osteotomy, is now mainly extension osteotomy with shortening. Femoral shortening is crucial for joint decompression and makes room for pelvic redirection after pelvic osteotomy. ...

BACKGROUND There are few studies comparing the biomechanical properties of angled blade plate and locking compression plates in supracondylar osteotomy. In the current randomized study, we prospectively compared the clinical and radiological outcomes of supracondylar osteotomy using these two plates. METHODS Forty patients with valgus knee malalignment were randomly assigned to two equal numb...

background: legg-calve´-perthes disease is a juvenile idiopathic osteonecrosis in which the blood supply of femoral head is not sufficient and the bone dies provisionally. the aim of this study is to evaluate outcome of femoral osteotomy in children with lcpd in our university hospital.   methods: in a descriptive analytic study, between 2008 and 2013, patients with the diagnosis of legg-calve’...

We used a trochanteric slide osteotomy (TSO) in 94 consecutive revision total hip arthroplasties (90 with replacement of both the cup and stem). This technique proved to be adequate for removing the components, with few complications (two minor fractures), and for implanting acetabular allografts (18%) and reinforcement devices (23%). Trochanteric union was obtained in most patients (96%), even...

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 REPORT A 12-month-old female, who had suffered neonat...

PURPOSE Three-dimensional (3D) effects of the single plane osteotomies of the proximal femur are compared and analyzed by the trigonometric method. MATERIALS AND METHODS The shape of proximal femur was simplified as a bent line. The bent line is the continuation of the three points-the center of the femoral head, the center of femoral neck at the base, and the center of the femoral shaft. The...

OBJECTIVE : The purpose of this study was to evaluate the performance of valgus intertrochanteric osteotomy in femoral neck non-union. METHODS : Forty-two patients with femoral neck fractures with non-union treated using Pauwels' intertrochanteric osteotomy were reviewed. Demographics, time elapsed between fracture and surgery, follow--up, osteosynthesis used, Garden's classification, limb sh...

During a period of nine years (1982-1991), Pauwels' osteotomy was performed for 38 cases of femoral neck non-:::union:::. 32 led to consolidation with one osteotomy (84%) and 6 failed (3 needed revision (92%), one died and two were lost to follow-up). The length of follow-up was 2-11 years, the average time of non-:::union::: 12 months (ranging from 4 months to 13 years) and the mean patien...

Realignment of the hip knee and ankle can be achieved by extra-articular osteotomy if there is no intra-articular deformity or incongruity. Intra-articular osteotomy of the femoral head, femoral condyles, tibial plateaus and tibial plafond can all be achieved technically and biologically and lead to a congruous joint. This is a new frontier for realignment surgery extending the indications for ...

The chiari pelvic Osteotomy deserves better Than the rather damnirtg description of"SalVage Procedure".Although it Cannot be regarded as a physiologic reconstructive Procedure because hyaline ,articular Cartilage is not brought over.the femoral head, it. nevertheless has unique advantages and specific indications. The Procedure is entlrely extra-articular, and the tissue" largely newl ne "that ...