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6 papers found.
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The role of guided growth as it relates to limb lengthening

For decades, the classic indication for limb lengthening has been reserved for anisomelia that was expected to reach or exceed 5 cm at maturity. Epiphysiodesis was reserved for discrepancies in the 2–5 cm range. With the increasing sophistication of fixators, including rail, hexapod, and hybrid, complex deformities may be corrected simultaneously while moderate to extreme ...

Femoral shaft osteotomy for obligate outward rotation due to SCFE

Slipped capital femoral epiphysis (SCFE) is an adolescent disease that leads to retroversion of the femoral neck and shaft, relative to the head. Observing that patients with SCFE must walk with an outward foot progression angle and externally rotate the leg in order to flex the hip, we have been performing a femoral shaft rotational osteotomy wherein we rotate the lower femur 45° ...

Percutaneous rotational osteotomy of the femur utilizing an intramedullary rod

Lake City, UT , USA 1 & Peter M. Stevens The purpose is to describe the technique and report the results and complications of percutaneous femoral rotational osteotomy, secured with a trochantericentry

Guided growth of the trochanteric apophysis combined with soft tissue release for Legg–Calve–Perthes disease

During the initial fragmentation stage of Perthes disease, the principle focus is to achieve containment of the femoral head within the acetabulum. Whether by bracing, abduction casts, femoral and/or pelvic osteotomy, the goals are to maximize the range of hip motion and to avoid incongruity, hoping to avert subsequent femoro-acetabular impingement or hinge abduction. A more subtle ...

Success of torsional correction surgery after failed surgeries for patellofemoral pain and instability

Torsional deformities of the femur and/or tibia often go unrecognized in adolescents and adults who present with anterior knee pain, and patellar maltracking or instability. While open and arthroscopic surgical techniques have evolved to address these problems, unrecognized torsion may compromise the outcomes of these procedures. We collected a group of 16 consecutive patients (23 ...

Tibial rotational osteotomy with intramedullary nail fixation

Alan K. Stotts 1 Peter M. Stevens 1 0 4550, Salt Lake City, UT 84113, USA 1 A. K. Stotts (&) P. M. Stevens Orthopaedic Surgery, Primary Children's Medical Center, University of Utah , 100 Mario