Distal transfer of the greater trochanter in acquired coxa vara.: Clinical and radiographic results

被引：16

作者：

Garrido, IM ^{[1
]}

Moltó, FJL ^{[1
]}

Lluch, DB ^{[1
]}

机构：

[1] Univ Valencia, La Fe Hosp Children, Sect Orthopaed Surg, Dept Pediat Surg, Valencia 46009, Spain

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2003年 / 12卷 / 01期

关键词：

greater trochanter; distal transfer; relative overgrowth; coxa vara; Trendelenburg's sign;

D O I：

10.1097/00009957-200301000-00007

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：

Relative overgrowth of the greater trochanter is a problem related to proximal femoral growth cartilage damage. Eleven hips in 10 patients aged 4-13 years with acquired coxa vara were retrospectively reviewed. Distal and lateral transfer of the greater trochanter was performed in all patients. The average follow-up was 42.7 months. The causes of the overgrowth were Perthes disease, avascular necrosis after treatment of developmental dysplasia of the hip, septic arthritis and rheumatoid arthritis. Radiological assessment revealed an improvement of both the articulotrochanteric distance and the greater trochanter relative overgrowth. Values referred to the acetabulum or the neck-shaft angle remained unmodified. Clinical improvement was achieved. A fracture of the transferred greater trochanter was observed. We believe that this procedure is a simple technique, with good results and few complications.

引用

页码：38 / 43

页数：6