Erratum to: Modified neck-lengthening osteotomy after Morscher in children and adolescents

Placzek, Richard; Gathen, Martin; Koob, Sebastian; Jacobs, Cheryl; Plöeger, Milena M.

doi:10.1007/s00064-018-0572-6

Cited by 4 publications

(9 citation statements)

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“…11,15 In seven studies, triple osteotomies introduced by Morscher were applied 12,[15][16][17][18][19][20] and four studies reported results of double proximal femoral osteotomies. [9][10][11]21 Overall, 143 patients were included, of whom six underwent bilateral osteotomies (149 hips). Demographic data are demonstrated in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…5). 10,12,[16][17][18][19]21 In one case series study of five patients, negative Trendelenburg sign and improvement in abductor insufficiency limp were reported in all patients after six weeks to 12 weeks of follow-up, 10 while another study reported that in five of six patients the Trendelenburg sign became negative. 21 In the latest study, the Trendelenburg sign remained positive in six of 20 hips, while four of them were sequelae of Perthes disease.…”

Section: Trendelenburg Testmentioning

confidence: 99%

“…12 In regard to range of motion, 10° to 20° improvement in hip abduction was reported in one study, 9 and another study reported a non-limited range of motion after about three months to six months. 10…”

Section: Functional Outcomesmentioning

confidence: 99%

“…9 Precursory osteotomies were fixed by angle-blade plates, but some modifications in fixation method were introduced later. [10][11][12] Morscher triple osteotomy and the later double proximal femoral osteotomy seem to be unsophisticated and effective methods for lengthening the short femoral neck and improving the related disabilities in patients with coxa brevis. Although primary outcomes were promising and few complications were reported, no consensus exists about the indications for patient selection and appropriate target groups.…”

Section: Introductionmentioning

confidence: 99%

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A review of outcomes associated with femoral neck lengthening osteotomy in patients with coxa brevis

Ghaffari

Kold

Rahbek

2020

Journal of Children's Orthopaedics

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Purpose Double and triple femoral neck lengthening osteotomies have been described to correct coxa brevis deformity. Only small studies reported the results. Our aim was to provide an overview of the outcomes of double and triple femoral neck lengthening. Methods After an extensive search of different online databases, we included studies reporting the results of double and triple femoral neck osteotomies. Clinical and radiological outcomes, and reported complications were extracted. The review process was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Results After evaluating 456 articles, we included 11 articles reporting 149 osteotomies in 143 patients (31% male, 64% female, 5% unspecified). Mean age of the patients was 20 years (range 7 years to 52 years). Indications were developmental hip dysplasia (51%), Perthes disease (27%), infection (6%), post-trauma (4%), congenital disorders (2%), slipped capital femoral epiphysis (1%), idiopathic (3%) and unknown (6%). The mean limb length discrepancy reduced by 12 mm (0 mm to 40 mm). In total, 65% of 101 positive Trendelenburg sign hips experienced improvement of abductor muscle strength. An 18% (9% to 36%) increase could be found in functional hip scores. Mean increase in articulo-trochanteric distance was 24 mm (10 mm to 34 mm). Five patients older than 30 years at the time of osteotomy and two younger patients with prior hip incongruency had disappointing results and required arthroplasty. In all, 12 complications occurred in 128 osteotomies, in which complications were reported. Conclusions Double and triple femoral neck lengthening osteotomies in coxa brevis show good results with few complications in the literature, especially in young patients with non-arthritic hips. Level of evidence III

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Section: Resultsmentioning

confidence: 99%

Section: Trendelenburg Testmentioning

confidence: 99%

Section: Functional Outcomesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A review of outcomes associated with femoral neck lengthening osteotomy in patients with coxa brevis

Ghaffari

Kold

Rahbek

2020

Journal of Children's Orthopaedics

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“…Ist bei der Verwendung der herkömmlichen, nicht winkelstabilen Klingenplatte häufig noch eine Immobilisation im Becken-Bein-Gips notwendig, kann diese bei winkelstabilen Implantaten entfallen [51]. Manche Autoren erlauben sogar, je nach Körpergewicht des Kindes und erfolgter Osteotomie, eine schmerzadaptierte Vollbelastung, was gerade im Kindesalter eine deutliche Erleichterung in der operativen Nachbehandlung ist [49]. Vorteile ergeben sich hierdurch aber auch vor allem in der Behandlung von Kindern mit neurologischen Grunderkrankungen, wie z.…”

Section: Valgisierende Extensionsosteotomieunclassified

Proximal Femoral Osteotomies in the Adolescence: Indications and Treatment Strategies

et al. 2019

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Proximal femoral osteotomies are common surgical interventions to treat hip deformities in pediatric orthopedics. The aim of proximal femoral osteotomies is to optimise hip containment by using varus or valgus osteotomy, flexion or extension osteotomy with shortening, lengthening or derotation of the femoral neck. Furthermore improved muscular dysbalance by enhancing the femoral offset, extension of the range of motion and pain reduction are important surgical intentions. In the long term, a proximal femoral osteotomy is meant to minimize the probability of an early osteoarthritis of the hip. In the current literature many different types of proximal femoral osteotomies are described. They can be divided concerning their anatomical localization into subcapital, base of the femoral neck, intertrochanteric and subtrochanteric osteotomies. A profound knowledge about the deformity and the anatomical situation is essential to choose the appropriate osteotomy. The aim of this review is to show the different ways of proximal femoral osteotomies and their indications after having done a selective literature research. Furthermore over the last years the osteosynthesis materials have changed from blade plates (non-locking) to locking compression plates which allow an early re-mobilization without hip spica casts.

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Mid-term Follow-Up after Closed Reduction in Developmental Dysplastic Hips

et al. 2022

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Purpose Closed reduction and subsequent spica casting is the gold standard for treatment of unstable or dislocated developmental dysplastic hips (DDHs). There are few data on mid-term results after treatment of DDH, especially on closed reduction. Methods Thirty-one consecutive patients with unstable or dislocated hips (n = 36) that were treated by fluoroscopic, contrast agent-supported closed reduction and spica casting were included and evaluated clinically and radiologically 2 and 5 years after treatment. Results After 2 and 5 years, there were no significant differences between healthy and successfully treated hips that were detectable with respect to acetabular coverage (AC) angle, center-edge angle, and clinical stability of the hip. There was a significant difference at the 2-year follow-up between healthy hips and hips that needed to undergo secondary open reduction surgery (n = 4) with respect to the AC angle (p < 0.001). Conclusion Closed reduction in DDHs results in acceptable clinical and radiological results in the mid-term follow-up. It remains unclear why some patients with subsequent sonographically matured hips show secondary deterioration and recurrence of dysplasia.

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Erratum to: Modified neck-lengthening osteotomy after Morscher in children and adolescents

Cited by 4 publications

References 0 publications

A review of outcomes associated with femoral neck lengthening osteotomy in patients with coxa brevis

A review of outcomes associated with femoral neck lengthening osteotomy in patients with coxa brevis

Proximal Femoral Osteotomies in the Adolescence: Indications and Treatment Strategies

Mid-term Follow-Up after Closed Reduction in Developmental Dysplastic Hips

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