%0 Journal Article %1 Wilkinson2001 %A Wilkinson, A. J. %A Nattrass, G. R. %A Graham, H. K. %D 2001 %J ANZ J Surg %K Bone Plates; Screws; Casts, Surgical; Cerebral Palsy; Child; Female; Femur; Hip Dislocation; Humans; Male; Osteotomy; Prospective Studies %N 11 %P 655--658 %T Modified technique for varus derotation osteotomy of the proximal femur in children. %V 71 %X BACKGROUND: The results of a study in which the Richards' intermediate hip screw and the AO (Association for the Study of Internal Fixation (ASIF)) 908 fixed-angle blade plate were compared for use in proximal femoral osteotomy in children have previously been reported. In that study loss of position at the osteotomy site was reported as a specific complication associated with the use of the Richards' intermediate hip screw. METHODS: The authors devised a simple modification of surgical technique using the Richards' intermediate hip screw to enhance the stability of the fixation. In the present article the results of a prospective study of that modified technique are reported and compared with the results of the previous study. RESULTS: During a 2-year period 24 proximal femoral osteotomies were performed on 12 children with cerebral palsy, using the modified technique by two surgeons. Only two of the 12 patients (16\%) required postoperative immobilization in a hip spica cast. This represents a significant reduction in the level of spica casting when compared with the previous cohort study (61\%). CONCLUSION: A simple modification of surgical technique improves the stability of fixation in proximal femoral osteotomy in children who have cerebral palsy. This resulted in a decreased need for supplementary hip spica casting and may reduce morbidity.

@article{Wilkinson2001, abstract = {BACKGROUND: The results of a study in which the Richards' intermediate hip screw and the AO (Association for the Study of Internal Fixation (ASIF)) 908 fixed-angle blade plate were compared for use in proximal femoral osteotomy in children have previously been reported. In that study loss of position at the osteotomy site was reported as a specific complication associated with the use of the Richards' intermediate hip screw. METHODS: The authors devised a simple modification of surgical technique using the Richards' intermediate hip screw to enhance the stability of the fixation. In the present article the results of a prospective study of that modified technique are reported and compared with the results of the previous study. RESULTS: During a 2-year period 24 proximal femoral osteotomies were performed on 12 children with cerebral palsy, using the modified technique by two surgeons. Only two of the 12 patients (16\%) required postoperative immobilization in a hip spica cast. This represents a significant reduction in the level of spica casting when compared with the previous cohort study (61\%). CONCLUSION: A simple modification of surgical technique improves the stability of fixation in proximal femoral osteotomy in children who have cerebral palsy. This resulted in a decreased need for supplementary hip spica casting and may reduce morbidity.}, added-at = {2014-07-19T21:54:58.000+0200}, author = {Wilkinson, A. J. and Nattrass, G. R. and Graham, H. K.}, biburl = {https://www.bibsonomy.org/bibtex/20a8921a570d3d187556a8ffab431ae66/ar0berts}, groups = {public}, interhash = {1563dcaa309856e1aedd9ec0f29353ae}, intrahash = {0a8921a570d3d187556a8ffab431ae66}, journal = {ANZ J Surg}, keywords = {Bone Plates; Screws; Casts, Surgical; Cerebral Palsy; Child; Female; Femur; Hip Dislocation; Humans; Male; Osteotomy; Prospective Studies}, month = Nov, number = 11, pages = {655--658}, pii = {2228}, pmid = {11736826}, timestamp = {2014-07-19T21:54:58.000+0200}, title = {Modified technique for varus derotation osteotomy of the proximal femur in children.}, username = {ar0berts}, volume = 71, year = 2001 }