Coxa vara in chondrodysplasia: prognosis study of 35 hips in 19 children

Journal of Pediatric Orthopedics
Moez TriguiChristophe Glorion

Abstract

To better understand anatomical and functional outcomes of coxa vara in chondrodysplasia according to the initial presenting hip morphology, disease type, and impact of surgery. Clinical and radiographic records of 19 children (35 hips) diagnosed with coxa vara and with osteochondrodysplasia were reviewed. We classified the hip radiographic findings into 2 groups: (a) group I, coxa vara with a fragmented and/or nonossified head; and (b) group II, coxa vara with a regular femoral head. Surgical indications in coxa vara included decreased range of hip motion (usually diminished abduction, extension, and internal rotation), coxa vara with progression documented on regular follow-up hip radiographs, and/or severe coxa vara with a Hilgenreiner epiphyseal angle (HEA) of 60 degrees or more. Follow-up was until the completion of growth and, for some patients, into early adulthood. Mean follow-up was 8 years. Twenty-five hips were operated on in 13 patients. In 23 hips, the procedure was a valgus osteotomy fixed by pins and wire. A pelvic extension osteotomy without valgus osteotomy was performed in one patient (2 hips). Coxa vara recurred in 7 hips. In 4 of these hips, repeat surgery with hypervalgus osteotomy was indicated to stop epi...Continue Reading

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Citations

Sep 11, 2010·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·Daghan IsikBekir Atik
Apr 25, 2012·Musculoskeletal Surgery·Vladimir KenisAli Al Kaissi
Mar 2, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Julia V WoelfleM Nelitz
Sep 12, 2013·Clinical Medicine Insights. Arthritis and Musculoskeletal Disorders·Ali Al KaissiFranz Grill
Aug 16, 2012·Journal of Pediatric Orthopedics·Peter M Stevens, Eduardo N Novais

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