Posterior rotational intertrochanteric osteotomy of the femur in children and adolescents. Use in residual deformity of the femoral head after treatment for developmental dysplasia of the hip
Sokolovsky, A.M.; Sokolovsky, O.A.
Journal of Bone and Joint Surgery. British Volume 83(5): 721-725
2001
ISSN/ISBN: 0301-620X PMID: 11476313 Document Number: 535491
We describe a method of intertrochanteric osteotomy with posterior rotation of the femoral head and neck. We analysed 45 hips in 44 children and adolescents aged from six to 18 years with residual dysplasia after conservative (35) and operative (10) treatment of developmental dysplasia of the hip complicated by avascular necrosis of the femoral head. In ten, femoral osteotomy was combined with a variety of pelvic procedures. Thirty-seven hips (36 patients) were available for follow-up at a mean of 4 years 5 months (2 to 15 years). Excellent results were obtained in nine, good in 17, fair in seven and poor in four.