Femoral de-rotational osteotomies are a safe and effective treatment for symptomatic excessive femoral anteversion or retroversion. The author's preferred technique for performing a de-rotational osteotomy is via a subtrochanteric transverse osteotomy with intramedullary nail fixation. We describe a method for guiding femoral de-rotation correction intra-operatively using a bubble inclinometer.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11018538 | PMC |
| http://dx.doi.org/10.1093/jhps/hnad021 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Principles of Hip Joint Preservation.
Arthroscopy
July 2024
Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora Colorado, U.S.A.
The 3 primary factors involved with preservation of the hip joint are femoroacetabular impingement (FAI), hip dysplasia, and femoral torsion abnormalities. Each of these factors affects the health of the acetabular labrum and femoroacetabular cartilage. The appropriate surgical treatments for each of these factors include arthroscopic or open femoroplasty or acetabuloplasty for FAI, periacetabular osteotomy (PAO) for acetabular dysplasia, and de-rotational femoral osteotomy for femoral torsion abnormalities.
View Article and Find Full Text PDFFinite Element Analysis of Six Internal Fixations in the Treatment of Pauwels Type III Femoral Neck Fracture.
Orthop Surg
July 2024
Department of Hip Trauma, Tianjin Hospital, Tianjin, China.
Objective: The current investigation sought to utilize finite element analysis to replicate the biomechanical effects of different fixation methods, with the objective of establishing a theoretical framework for the optimal choice of modalities in managing Pauwels type III femoral neck fractures.
Methods: The Pauwels type III fracture configuration, characterized by angles of 70°, was simulated in conjunction with six distinct internal fixation methods, including cannulated compression screw (CCS), dynamic hip screw (DHS), DHS with de-rotational screw (DS), CCS with medial buttress plate (MBP), proximal femoral nail anti-rotation (PFNA), and femoral neck system (FNS). These models were developed and refined using Geomagic and SolidWorks software.
Technical note-the use of an inclinometer to accurately guide intra-operative femoral de-rotational osteotomies.
J Hip Preserv Surg
July 2023
Musgrave Park Hospital, Stockman's Lane, Belfast BT9 7JB, United Kingdom.
Femoral de-rotational osteotomies are a safe and effective treatment for symptomatic excessive femoral anteversion or retroversion. The author's preferred technique for performing a de-rotational osteotomy is via a subtrochanteric transverse osteotomy with intramedullary nail fixation. We describe a method for guiding femoral de-rotation correction intra-operatively using a bubble inclinometer.
View Article and Find Full Text PDF[Double-Level De-Rotational Osteotomy of the Knee].
Z Orthop Unfall
October 2024
Klinik für Orthopädie und Unfallchirurgie, REGIOMED Klinikum Lichtenfels, Lichtenfels, Deutschland.
Derotational osteotomies of the proximal tibia and distal femur are a common surgical treatment option in patients with a congenital or posttraumatic torsional deformity. Clinically, these patients present with isolated anterior knee pain alone or in in combination with patellofemoral instability. Since the combination of femoral and tibial deformity is common (quotation Cooke), a combined surgical treatment is needed for these cases.
View Article and Find Full Text PDFIntraoperative control by Schanz-screws is inaccurate to achieve the exact amount of correction in de-rotational osteotomies.
Knee Surg Sports Traumatol Arthrosc
October 2023
Orthopädische Klinik und Poliklinik, Universität Rostock, Rostock, Germany.
Purpose: The accuracy of intraoperative control of correction commonly is achieved by K-wires or Schanz-screws in combination with goniometer in de-rotational osteotomies. The purpose of this study is to investigate the accuracy of intraoperative torsional control in de-rotational femoral and tibial osteotomies. It is hypothesized, that intraoperative control by Schanz-screws and goniometer in de-rotational osteotomies around the knee is a safe and well predictable method to control the surgical torsional correction intraoperatively.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!