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[Greater trochanter epiphyseodesis in treatment of hip deformity]
A Pucher1, L Labaziewicz, J Nowicki
1Kliniki Ortopedii Instytutu Ortopedii i Rehabilitacji AM w Poznaniu.
Insights
Greater trochanter epiphyseodesis was ineffective for treating hip deformity caused by avascular necrosis in children. This surgical approach did not prevent further proximal femur deformity in the studied age group.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Hip deformity correction
Background:
- Congenital hip dysplasia treatment can lead to subcapital growth plate damage (avascular necrosis).
- This avascular necrosis can cause progressive proximal femur deformity.
- Greater trochanter epiphyseodesis is a surgical procedure sometimes used in managing hip deformities.
Purpose of the Study:
- To evaluate the effectiveness of greater trochanter epiphyseodesis.
- To assess its role in treating progressive hip deformity secondary to avascular necrosis.
- To determine outcomes in patients treated for congenital hip dysplasia complications.
Main Methods:
- Retrospective review of 29 patients (33 hips) who underwent greater trochanter epiphyseodesis.
- Patients had hip deformity due to avascular necrosis post-congenital hip dysplasia treatment.
- Clinical and radiological assessments were performed with a mean follow-up of 10.1 years.
Main Results:
- Greater trochanter epiphyseodesis demonstrated ineffectiveness in treating hip deformity.
- The procedure did not halt or reverse progressive proximal femur deformity.
- These findings were consistent across the patient cohort, aged a mean of 8.1 years at surgery.
Conclusions:
- Greater trochanter epiphyseodesis is not an effective treatment for hip deformity.
- It is particularly ineffective when deformity arises from avascular necrosis in this pediatric age group.
- Alternative treatment strategies should be considered for managing these complex hip conditions.
Abstract:
A series of 29 patients (33 hips) after greater trochanter epiphyseodesis in treatment for hip deformity has been reviewed. An indication for this surgery was increasing proximal femur deformity due to the damage of subcapital growth plate (avascular necrosis) during the treatment for congenital dysplasia of the hip. The age of patients at surgery was mean 8.1 years, mean follow-up was 10.1 year. Clinical and radiological assessment revealed ineffectiveness of greater trochanter epiphyseodesis in treatment for increasing hip deformity due to avascular necrosis in the age group in question.