A modified technique for reconstruction of the femoral neck in paediatric patients.

Hip Int

Department of Paediatric Orthopaedics and Traumatology, Rizzoli Orthopedic Institute, Bologna, Italy.

Published: April 2011

Hip deformities during early childhood following Perthes' disease, congenital dislocation or septic arthritis are not rare, causing limitation of motion and limping. A number of proximal femoral osteotomies to address residual deformities have been described, but the outcome has been variable. We describe a proximal femoral osteotomy aimed at restoring a more anatomic insertion of the gluteus medius. The clinical and radiographic results thus far are promising. We believe that the technique improves both the anatomy and biomechanics of the hip.

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http://dx.doi.org/10.1177/112070001002000418DOI Listing

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