Reconstruction of the Proximal End of the Femur After Hematogenous Osteomyelitis
We report a method of surgical treatment of sequela of septic hips and osteomyelitis of the proximal end of the femur in seven children. Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck a...
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Veröffentlicht in: | Journal of pediatric orthopaedics 1993-01, Vol.13 (1), p.63-67 |
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creator | Krumins, Marcis Kalnins, Janis Lacis, Gundars |
description | We report a method of surgical treatment of sequela of septic hips and osteomyelitis of the proximal end of the femur in seven children. Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck and/or head of the femur and a callus distraction procedure in the direction of the acetabulum with the Kalnberz external fixation device was performed. This allowed stabilization of the hip joint, new bone formation in anatomic place of the femoral head, and retention of hip joint function. |
doi_str_mv | 10.1097/01241398-199301000-00013 |
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Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck and/or head of the femur and a callus distraction procedure in the direction of the acetabulum with the Kalnberz external fixation device was performed. This allowed stabilization of the hip joint, new bone formation in anatomic place of the femoral head, and retention of hip joint function.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199301000-00013</identifier><identifier>PMID: 8416357</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Arthritis, Infectious - etiology ; Biological and medical sciences ; Child ; External Fixators ; Femur - diagnostic imaging ; Femur - surgery ; Follow-Up Studies ; Hip Joint - diagnostic imaging ; Humans ; Medical sciences ; Orthopedic surgery ; Osteomyelitis - complications ; Osteotomy ; Radiography ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck and/or head of the femur and a callus distraction procedure in the direction of the acetabulum with the Kalnberz external fixation device was performed. This allowed stabilization of the hip joint, new bone formation in anatomic place of the femoral head, and retention of hip joint function.</description><subject>Adolescent</subject><subject>Arthritis, Infectious - etiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>External Fixators</subject><subject>Femur - diagnostic imaging</subject><subject>Femur - surgery</subject><subject>Follow-Up Studies</subject><subject>Hip Joint - diagnostic imaging</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteomyelitis - complications</subject><subject>Osteotomy</subject><subject>Radiography</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kcFO3DAQQC1URLe0n1Aph6q3tJ6MY8dHhKBUQgJV9Gw5zoRN68TUdgT8fU132VsPliXPm_HMG8Yq4F-Aa_WVQyMAdVeD1siBc16XA3jENtCirptW8TdswxsFtVS6e8vepfSrEAoFnrCTToDEVm3Y7Q9yYUk5ri5PYanCWOUtVbcxPE2z9dXFMry-XdK8xupszBSrK5ptDve0hDVVNylTmJ_JT3lK79nxaH2iD_v7lP28vLg7v6qvb759Pz-7rh12AmunRIvgEAcCJIWDFJwARnCyl7ylVkqrm1EOtu3Bkuqdcv2oHCrSqukQT9nnXd2HGP6slLKZp-TIe7tQacqUQbWUDS9gtwNdDClFGs1DLKPFZwPcvMg0rzLNQab5J7Okftz_sfYzDYfEvb0S_7SP2-SsH6Nd3JQOmBAaW_7Sgdhhj8EXeem3Xx8pmi1Zn7fmf6vEv8pSi6w</recordid><startdate>199301</startdate><enddate>199301</enddate><creator>Krumins, Marcis</creator><creator>Kalnins, Janis</creator><creator>Lacis, Gundars</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199301</creationdate><title>Reconstruction of the Proximal End of the Femur After Hematogenous Osteomyelitis</title><author>Krumins, Marcis ; Kalnins, Janis ; Lacis, Gundars</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3843-c74531c33de13e73d640e11f1c6b605e566a92f6da5b1ae7bc7cbf7c37e972833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Arthritis, Infectious - etiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>External Fixators</topic><topic>Femur - diagnostic imaging</topic><topic>Femur - surgery</topic><topic>Follow-Up Studies</topic><topic>Hip Joint - diagnostic imaging</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteomyelitis - complications</topic><topic>Osteotomy</topic><topic>Radiography</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krumins, Marcis</creatorcontrib><creatorcontrib>Kalnins, Janis</creatorcontrib><creatorcontrib>Lacis, Gundars</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krumins, Marcis</au><au>Kalnins, Janis</au><au>Lacis, Gundars</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reconstruction of the Proximal End of the Femur After Hematogenous Osteomyelitis</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1993-01</date><risdate>1993</risdate><volume>13</volume><issue>1</issue><spage>63</spage><epage>67</epage><pages>63-67</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>We report a method of surgical treatment of sequela of septic hips and osteomyelitis of the proximal end of the femur in seven children. Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck and/or head of the femur and a callus distraction procedure in the direction of the acetabulum with the Kalnberz external fixation device was performed. This allowed stabilization of the hip joint, new bone formation in anatomic place of the femoral head, and retention of hip joint function.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8416357</pmid><doi>10.1097/01241398-199301000-00013</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Arthritis, Infectious - etiology Biological and medical sciences Child External Fixators Femur - diagnostic imaging Femur - surgery Follow-Up Studies Hip Joint - diagnostic imaging Humans Medical sciences Orthopedic surgery Osteomyelitis - complications Osteotomy Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
title | Reconstruction of the Proximal End of the Femur After Hematogenous Osteomyelitis |
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