Distal femoral derotational osteotomy with external fixation for correction of excessive femoral anteversion in patients with cerebral palsy

Journal of Pediatric Orthopedics. Part B
Eyad SkiakHasan Havitcioglu

Abstract

Patients with cerebral palsy (CP) disorder often develop rotational hip deformity. Increasing deformities impair already diminished walking abilities; femoral osteotomies are often performed to maintain and improve walking abilities. Fixation of osteotomies with condylar plates has been used successfully, but does not often enable immediate postoperative full weight-bearing. To avoid considerable postoperative rehabilitation deficit and additional bone loss because of inactivity, a postoperative treatment with full weight-bearing, is therefore, desirable. Self-tapping Schanz screws with a unilateral external fixator crossing the knee joint providing stronger anchoring in osteopenic bone might fulfill these demands. A retrospective study was carried out on 27 ambulatory CP patients, mean age 17.5 years (range 9-22 years); 11 patients with bilateral severe intoeing deformities underwent a supracondylar femoral osteotomy between September 2008 and April 2012. All patients were allowed to bear their full weight postoperatively. The aim of this study was to describe the technique, the results of this technique, to evaluate the time required for bone healing, and the type of complications associated with a distal derotational femoral...Continue Reading

References

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Citations

Dec 19, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Carlos Eduardo FrancioziMarcus Vinícius Malheiros Luzo
Feb 15, 2019·Journal of Pediatric Orthopedics·Rajan R MurgaiRobert M Kay
Mar 5, 2020·Journal of Experimental Orthopaedics·Eric W EdmondsVidyadhar V Upasani
Apr 23, 2019·Journal of Pediatric Orthopedics. Part B·İlker A SarikayaMuharrem İnan
Apr 18, 2020·Journal of Pediatric Orthopedics. Part B·Hassan Magdy El BarbaryAhmed Samir Barakat
Dec 14, 2018·Techniques in Orthopaedics : TIO·Christopher A Iobst, Ahmed Ansari

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