Valgus intertrochanteric osteotomy for coxa vara of Bucholz–Ogden Types II and III in patients older than 30 years

Bartoníček, Jan; Vávra, J

doi:10.1007/s00402-011-1278-5

Cited by 19 publications

(17 citation statements)

References 17 publications

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“…The great advantages of the intertrochanteric osteotomy over the subtrochanteric osteotomy include that it is done in the metaphyseal highly cancellous proximal femoral bone with high power of union, which is nearer to the site of the hip deformity with easier deformity correction and also it obviates radiologic disadvantage of a subtrochanteric osteotomy, which is the creation of a secondary angular deformity in the form of femoral shaft kinking distal to the primary deformity. 7 8 14 16 17) On the other hand the authors reported that this radiological kinking remodels significantly and has no negative influence on hip function. 4) In the present study, the length of the oblique limb of the Y-shaped osteotomy was fixed to be one-half of the diameter of the femur at the level of the osteotomy.…”

Section: Discussionmentioning

confidence: 95%

Fixation of Intertrochanteric Valgus Osteotomy with T Plate in Treatment of Developmental Coxa Vara

Elzohairy

Khairy

2016

Clin Orthop Surg

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BackgroundAlthough the valgus subtrochanteric osteotomy is considered as a standard surgical treatment for coxa vara, there is no consensus on the optimal method of fixation and osteotomy technique. Fixation of the osteotomy has been achieved by various methods including external fixation and internal fixation with pins and cerclage and a variety of plates. The aim of this study is the evaluation of the results of developmental coxa treated by Y intertrochanteric valgus osteotomy fixed with a T-buttress plate compared with other methods of fixation in the literature.MethodsEighteen corrective valgus intertrochanteric femoral osteotomies were performed in 18 patients (18 hips) for treatment of unilateral developmental coxa vara deformity and fixed with a T plate. There were 12 males and 6 females. The right hip was affected in 10 patients and the left hip in 8 patients. Clinically, patients were evaluated by Larson hip score. Radiographically, anteroposterior view of the pelvis and frog leg lateral views of the affected hip were taken preoperatively and compared with the findings at the final follow-up.ResultsThe average follow-up was 29 months (range, 24 to 36 months). Clinical results showed improvement of the mean Larson hip score from 57.8 to 97.0 (p < 0.001). Radiological results showed that all osteotomies were completely united in 2.4 months (range, 2 to 3 months) with the achievement of the planned correction angle. The average correction of Hilgenreiner's epiphyseal angle improved from 78.2° to 27.8° (p < 0.001) at the final follow-up. The femoral neck shaft angle was improved from 93.7° to 129.9° (p < 0.001) at the final follow-up. Shortening of the affected limb was corrected from 2.8 cm to 1.3 cm (p < 0.001) at the last follow-up. No major serious complications were recorded in the present study.ConclusionsIntertrochanteric valgus osteotomy of the proximal femur fixed with a T plate may be efficient for treatment of developmental coxa vara. With careful planning, it can result in a low complication rate and insignificant or minimal recurrence rate.

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Section: Discussionmentioning

confidence: 95%

Fixation of Intertrochanteric Valgus Osteotomy with T Plate in Treatment of Developmental Coxa Vara

Elzohairy

Khairy

2016

Clin Orthop Surg

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“…Various hip preservation surgeries used to be performed for the young patients with hip dysplasia or ONFH [2, [14][15][16]. When these patients developed arthritis, the residual deformity would bring more challenge to the following THA [17].…”

Section: Discussionmentioning

confidence: 99%

Modular stem in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series

Kong

Chai

Yang

et al. 2020

Preprint

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Background: Trochanter valgus deformity (TVD) is a rare condition of total hip arthroplasty (THA). The femoral osteotomy might be required to correct the deformity to implant the femoral stem in severe TVD. In this study, we described one unpublished technique of reverse sleeve of S-ROM to get through the complex situation. This study aimed to summarize and evaluate its technical challenges, safety and effectiveness.Methods : From January 2006 to December 2014, the patients whose sleeves were implanted towards the great trochanter rather than sitting on the calcar, to solve the TVD in THA were enrolled. Their demographics, perioperative and postoperative information were recorded. To explore its indication, we measured and analyzed the ratio of greater trochanter/lesser trochanter (G/L ratio) and trochanter valgus angle (TVA).Results : Twelve patients (1 male and 11 female, average age 42.30±10.23) who had the complete clinical data were analyzed. The survivorship of femoral prosthesis were 100% with mean follow-up of 6 years. No other complications were found, except for two patients with intraoperative fracture of femur. The Harris hip score (HHS) increased from preoperative 34.31±14.43 to postoperative 84.12±11.33. All patients' G/L ratio were larger than 1.50.Conclusions: The reverse sleeve of S-ROM was a reliable method for the patients with severe trochanter valgus deformity, which brought satisfying clinical outcomes in mid-term follow-up.

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“…In the past, various hip-preserving surgeries were performed for the young patients with hip dysplasia or ONFH [2,[10][11][12]. When these patients developed arthritis, the residual deformity would bring more challenge to the following THA [13].…”

Section: Discussionmentioning

confidence: 99%

The reverse sleeve in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series

Kong

Chai

Yang

et al. 2019

Preprint

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Background: Ttrochanter valgus deformity (TVD) is a rare condition of total hip arthroplasty (THA). The femoral osteotomy might be required to correct the deformity to implant the femoral stem in severe TVD. In this study, we described one unpublished technique of reverse sleeve of S-ROM to get through the complex situation. The aim of this study was to summarize the technical challenges of this special sleeve-implanting method and evaluate its effectiveness and safety. Methods: From January 2006 to December 2014, the patients who had the reverse sleeve to solve the TVD in THA were enrolled. Their demographics, perioperative and postoperative information were recorded. To explore its indication, we measured and analyzed the ratio of greater trochanter/lesser trochanter (G/L ratio) and trochanter valgus angle (TVA). Results: Twelve patients (1 male and 11 female, average age 42.30±10.23) who had the complete clinical data were analyzed. The survivorship of femoral prosthesis were 100% with mean follow-up of 6 years. No other complications were found, except for two patients with intraoperative fracture of femur. The Harris hip score (HHS) increased from preoperative 34.31±14.43 to postoperative 84.12±11.33. All patients’ G/L ratio were larger than1.50. Conclusions: The reverse sleeve of S-ROM was a simple and reliable method for patients with severe TVD, which brought satisfying clinical outcomes in mid-term follow-up. When G/L ratio is larger than 1.50, surgeons should consider this special surgical technique. Keywords: cementless modular stem; reverse sleeve; total hip arthroplasty; trochanter valgus deformity.

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Valgus intertrochanteric osteotomy for coxa vara of Bucholz–Ogden Types II and III in patients older than 30 years

Abstract: Based on results, the valgus intertrochanteric osteotomy appears to be a reliable treatment for postdysplastic coxa vara in patients older than 30 years.

Cited by 19 publications

References 17 publications

Fixation of Intertrochanteric Valgus Osteotomy with T Plate in Treatment of Developmental Coxa Vara

Fixation of Intertrochanteric Valgus Osteotomy with T Plate in Treatment of Developmental Coxa Vara

Modular stem in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series

The reverse sleeve in total hip arthroplasty for patients with trochanter valgus deformity: surgical technique and case series

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