The treatment of progressive coxa vara in children with bone softening disorders

Fractures of the proximal femur frequently occur in children with osteogenesis imperfecta or fibrous dyplasia and may lead to progressive coxa vara and a "shepherds crook" deformity. We have found existing methods of fixation of the femoral neck in small children to be unsatisfactory. We h...

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Veröffentlicht in:	International orthopaedics 1994-10, Vol.18 (5), p.310-312
Hauptverfasser:	LIVESLEY, P. J, MCALLISTER, J. C. R, CATTERRALL, A
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Bone Nails Child Female Fibrous Dysplasia of Bone - complications Hip Joint - diagnostic imaging Hip Joint - surgery Humans Joint Deformities, Acquired - diagnostic imaging Joint Deformities, Acquired - etiology Joint Deformities, Acquired - surgery Male Medical sciences Orthopedic surgery Osteogenesis Imperfecta - complications Osteotomy - methods Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Beschreibung
Zusammenfassung:	Fractures of the proximal femur frequently occur in children with osteogenesis imperfecta or fibrous dyplasia and may lead to progressive coxa vara and a "shepherds crook" deformity. We have found existing methods of fixation of the femoral neck in small children to be unsatisfactory. We have devised a method of fixation using a small signal arm nail. With a mean follow-up of 9.3 years there was a successful outcome in all 11 hips treated.
ISSN:	0341-2695 1432-5195
DOI:	10.1007/BF00180233