OBJECTIVES To evaluate the treatment of severe proximal femoral epiphysiolysis through subtrochanteric osteotomy using the Ilizarov method and to propose a new method for calculating the necessary correction. METHODS A case study was carried out among patients affected by severe proximal femoral epiphysiolysis who underwent subtrochanteric osteotomy with external multiplanar fixation and were...

The rate of success of transtrochanteric rotational osteotomy for osteonecrosis of the femoral head may be improved if patients are preselected using MRI. We have used three criteria for selection for osteotomy (i) minor collapse of the infarcted area, loss of congruity or the crescent sign, without narrowing of the joint space or acetabular involvement (ii) patients younger than 55 years and w...

Our aim in this retrospective study of 52 children with spastic hemiplegia was to determine the factors which affected the amount of residual pelvic rotation after single-event multilevel surgery. The patients were divided into two groups, those who had undergone femoral derotation osteotomy and those who had not. Pelvic rotation improved significantly after surgery in the femoral osteotomy gro...

BACKGROUND The transfemoral and the extended trochanteric osteotomies are the most common osteotomies used in femoral revision, both when proximal or diaphyseal fixation of the new component has been decided. We present an alternative approach to the trochanteric osteotomies, most frequently used with distally fixated stems, to overcome their shortcomings of osteotomy migration and nonunion, bu...

We describe two cases of knee deformity in SDS patients surgically treated. In case n.1, because of a severe deformity, an osteotomy of the distal femur was performed by removing a lateral wedge and stabilizing with a staple, plus lateral tibial hemiepiphysiodesis. In case n. 2 first a medial hemiepiphysiodesis of the proximal tibia with Blount staples was performed. After 18 months the staples...

Femoroacetabular impingement is typically described as occurring due to a conflict between the femoral head-neck junction and acetabular rim. A prior case report described an open decompression of the anterior inferior iliac spine (AIIS) due to impingement against the proximal femur. AIIS impingement may be developmental or the result of a prior AIIS avulsion or pelvic osteotomy. We describe 3 ...

We present a technique of posterior femoral longitudinal split (FLS) osteotomy. This technique allows the expansion of the metaphyseal-diaphyseal region of the proximal femur facilitating extraction of well-fixed extended porous-coated stems. The extractions were performed using extended transfemoral osteotomy (ETO) and FLS osteotomy between June 2002 and March 2014. The study group, which comp...

A 6-year-old boy presented with the recent development of a right sided limp. He had no known medical conditions. On examination, the patient had limited internal/external rotation and abduction of the right hip. He walked with a non-antalgic gait and was noted to have a positive Trendelenberg sign. Lower extremity radiographs (A) revealed flattening of the right proximal femoral epiphysis with...

IntroductionMost proximal femoral deformities encountered during hip arthroplasty are secondary to degenerative processes, previous osteotomy, or fracture and could be a challenged for surgeons. Femoral deformity may angular, rotational, one of bone diameter length. Fully understanding the anatomy is first element in deciding how best treat Total Hip Arthroplasty (THA). Presentation CaseFemale ...