Femoral derotation osteotomy in children with cerebral palsy using the pediatric proximal femoral nail

被引:1
作者
Sarikaya, Ilker A. [1 ]
Erdal, Ozan A. [1 ]
Seker, Ali [2 ]
Gorgun, Baris [1 ]
Inan, Muharrem [1 ]
机构
[1] Pediat Orthoped Acad, Ortopediatri, Hakki Yeten St 10, TR-34349 Istanbul, Turkey
[2] Istanbul Univ, Cerrahpasa Fac Med, Dept Orthopaed & Traumatol, Istanbul, Turkey
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2020年 / 29卷 / 01期
关键词
cerebral palsy; derotational osteotomy; in-toeing; intramedullary nailing; proximal femoral nailing; GROSS MOTOR FUNCTION; INTERNAL HIP ROTATION; AVASCULAR NECROSIS; BLADE PLATE; INTRAMEDULLARY FIXATION; AMBULATORY CHILDREN; SHAFT FRACTURES; ANTEVERSION; GAIT; FEMUR;
D O I
10.1097/BPB.0000000000000639
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We designed a pediatric proximal femoral nail (PPFN) to overcome fixation method-related complications when performing femoral derotation osteotomy in cerebral palsy patients. Preliminary results of cerebral palsy patients who underwent femoral derotation osteotomy fixed using PPFN to treat in-toeing were evaluated. Sixteen patients with a mean age of 10 years were included. Mean follow-up duration was 36 months. There was no significant difference in the follow-up neck-shaft angle and articulotrochanteric distance values (P = 0.2 and 0.3). PPFN provides stable fixation, early weight-bearing, reduces soft-tissue disruption while limiting the complications due to fixation technique.
引用
收藏
页码:15 / 21
页数:7
相关论文
共 66 条
[1]   Spastic hemiplegic cerebral palsy and the femoral derotation osteotomy: Effect at the pelvis and hip in the transverse plane during gait [J].
Aminian, A ;
Vankoski, SJ ;
Dias, L ;
Novak, RA .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2003, 23 (03) :314-320
[2]   AVASCULAR NECROSIS OF THE CAPITAL FEMORAL EPIPHYSIS AFTER INTRAMEDULLARY NAILING FOR A FRACTURE OF THE FEMORAL-SHAFT [J].
ASTION, DJ ;
WILBER, JH ;
SCOLES, PV .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1995, 77A (07) :1092-1094
[3]   INTERLOCKING INTRAMEDULLARY NAILING OF FEMORAL-SHAFT FRACTURES IN ADOLESCENTS - PRELIMINARY-RESULTS AND COMPLICATIONS [J].
BEATY, JH ;
AUSTIN, SM ;
WARNER, WC ;
CANALE, ST ;
NICHOLS, L .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1994, 14 (02) :178-183
[4]  
BEAUCHESNE R, 1992, J PEDIATR ORTHOPED, V12, P735
[5]   Complications of blade plate removal [J].
Becker, CE ;
Keeler, KA ;
Kruse, RW ;
Shah, SA .
JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1999, 19 (02) :188-193
[6]  
Blasier RD, 2001, ROCKWOOD WILKINS FRA, P913
[7]   Hip Fractures in Children [J].
Boardman, Matthew J. ;
Herman, Martin J. ;
Buck, Brian ;
Pizzutillo, Peter D. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2009, 17 (03) :162-173
[8]   Intramedullary nailing of the lower extremity: Biomechanics and biology [J].
Bong, Matthew R. ;
Kummer, Frederick J. ;
Koval, Kenneth J. ;
Egol, Kenneth A. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2007, 15 (02) :97-106
[9]   Long-term changes in femoral anteversion and hip rotation following femoral derotational osteotomy in children with cerebral palsy [J].
Boyer, Elizabeth ;
Novacheck, Tom F. ;
Rozumalski, Adam ;
Schwartz, Michael H. .
GAIT & POSTURE, 2016, 50 :223-228
[10]  
Canale ST, 1993, J PEDIATR ORTHOPED, V3, P592