The reciprocal ledge closing wedge osteotomy for post traumatic coxa vara

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چکیده

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The reciprocal ledge closing wedge osteotomy for post traumatic coxa vara

To report a proximal femoral osteotomy with retention of bone ledges in a reciprocal position to increase bone contact and stability. The method was applied to 5 patients over a 3-year period. All patients had coxa vara. The average length gained was 1.5 cm, and the average neck shaft angle improvement was 30°. The Harris hip score improved from an average of 63 to 82. The reciprocal ledge oste...

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BACKGROUND Surgical treatment modalities for post-traumatic kyphosis (PTK) remain controversial. Like vertebral column resection, closing-opening wedge osteotomy (COWO) can achieve satisfactory results for kyphosis with multiple etiologies. However, few studies have assessed this procedure for PTK. Our purpose was to evaluate the radiographic and clinical outcomes of COWO in a selected series o...

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A reciprocating ledge technique in closing wedge osteotomy for genu valgum in adolescents.

PURPOSE To describe a technique that preserves anterior and posterior alternate ledges in a closing wedge osteotomy. METHODS Five patients aged 14 to 19 years underwent a closing wedge osteotomy for genu valgum in 8 limbs using a reciprocating ledge technique. A unicortical wedge of bone was removed, with the anterior and posterior cortices spared. The anterior cortex at the proximal level an...

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Post-traumatic coxa vara in children following screw fixation of the femoral neck

BACKGROUND AND PURPOSE The rare displaced fractures of the femoral neck in children need accurate reduction and rigid fixation. The implants commonly used for internal fixation in children are pins or screws. We evaluated the long-term outcome in children who sustained fractures of the proximal femur that were treated by screw fixation. PATIENTS AND METHODS All 22 children (mean age 12 (5-16)...

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ژورنال

عنوان ژورنال: Strategies in Trauma and Limb Reconstruction

سال: 2011

ISSN: 1828-8936,1828-8928

DOI: 10.1007/s11751-011-0120-5