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Treatment of coxa brevis

Shawn C Standard1

  • 1International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA. sstandard@lifebridgehealth.org

The Orthopedic Clinics of North America
|July 12, 2011
PubMed

Insights

Coxa brevis, a hip condition, causes pain and gait issues. The Morscher osteotomy effectively lengthens the femur, restoring normal hip structure and function.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Femoral morphology

Background:

  • Coxa brevis leads to proximal femur morphologic changes, causing pain, fatigue, leg-length discrepancy, and altered gait.
  • The primary cause is typically proximal femoral physeal growth disturbance due to ischemic necrosis of the proximal femoral epiphysis.

Purpose of the Study:

  • To describe the Morscher osteotomy, a specific surgical technique for femoral neck lengthening.
  • To evaluate the outcomes of the Morscher osteotomy in treating coxa brevis.

Main Methods:

  • The study details the Morscher osteotomy procedure, a femoral neck-lengthening technique.
  • Outcomes were assessed based on symptom resolution, complication rates, and restoration of hip biomechanics.

Main Results:

  • The Morscher osteotomy demonstrated successful and predictable outcomes.
  • Patients experienced resolution of hip discomfort and fatigue.
  • The technique showed no instances of nonunion, infection, or hardware failure, restoring normal proximal femoral morphology and biomechanics.

Conclusions:

  • The Morscher osteotomy is an effective treatment for coxa brevis.
  • This femoral neck-lengthening technique successfully restores hip morphology and function while avoiding complications.

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