New femoral derotation technique based on guided growth in children.
Children
Guiding rotational growth
Torsional growth modulation
Journal
Orthopaedics & traumatology, surgery & research : OTSR
ISSN: 1877-0568
Titre abrégé: Orthop Traumatol Surg Res
Pays: France
ID NLM: 101494830
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
18
01
2019
revised:
20
05
2019
accepted:
07
06
2019
pubmed:
31
7
2019
medline:
12
5
2020
entrez:
31
7
2019
Statut:
ppublish
Résumé
Derotation osteotomy is the only available treatment for medial femoral torsion in paediatric patients. To eliminate the need for postoperative immobilisation and to allow immediate weight bearing, we suggest a new technique that guides femoral growth. The goal is to convert part of the axial growth into rotation by placing a system composed of two screws and a cable around the distal femoral physis. We used this percutaneous technique to treat 20 knees in 11 children. The preliminary outcomes indicate good efficacy with about 1.2° of derotation per month and a total mean derotation of 25° over 22 months. Postoperative stiffness was the main complication but resolved with physical therapy. This technique may therefore constitute an alternative to derotation osteotomy.
Identifiants
pubmed: 31358462
pii: S1877-0568(19)30206-3
doi: 10.1016/j.otsr.2019.06.005
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1175-1179Informations de copyright
Copyright © 2019 Elsevier Masson SAS. All rights reserved.