767 results match your criteria Congenital Coxa Vara


A Simple Percutaneous Technique to Reduce Valgus-Impacted Femoral Neck Fractures.

Clin Orthop Surg 2020 Jun 14;12(2):258-262. Epub 2020 May 14.

Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

The mainstream surgery for valgus-impacted femoral neck fractures (FNFs) is closed reduction and internal fixation under fluoroscopy. However, femoral neck shortening and anterior femoroacetabular impingement are common complications in healed valgus-impacted FNFs after fixation. Some methods have been reported to prevent complications, but these techniques require the use of a transfixing guide wire that passes through the femoral head, which may cause articular cartilage damage. Read More

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http://dx.doi.org/10.4055/cios19156DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7237256PMC

The direct anterior approach provokes varus stem alignment when using a collarless straight tapered stem.

Arch Orthop Trauma Surg 2020 May 30. Epub 2020 May 30.

Gelenkzentrum Bergisch Land, Freiheitstraße 203, 42853, Remscheid, Germany.

Introduction: Inaccurate stem implantation can cause unsatisfactory offset reconstruction and may result in insufficient gluteal muscle function or aseptic loosening. In this study, stem alignment of a collarless straight tapered HA-coated stem was retrospectively analyzed during the learning phase of the direct anterior approach (DAA) for primary total hip arthroplasty (THA).

Material And Methods: From Jan 2013 to Jun 2015, a total of 93 cementless THA were implanted in patients with unilateral coxarthrosis via the DAA in a two surgeon setting using the Corail or Trendhip stem (DePuy Synthes or Aesculap). Read More

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http://dx.doi.org/10.1007/s00402-020-03457-9DOI Listing

Does the timing of treatment affect complications of pediatric femoral neck fractures?

J Orthop 2020 Nov-Dec;22:207-212. Epub 2020 May 6.

Department of Orthopaedics, Kasturba Hospital, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

Objectives: Pediatric femoral neck fractures were reviewed to compare complications with the time of presentation.

Methods: 34 pediatric femoral neck fractures were studied to detect union time, avascular necrosis, premature physis fusion, and the neck-shaft angle. All complications were comparable between both groups. Read More

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http://dx.doi.org/10.1016/j.jor.2020.04.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7225590PMC

Proximal femoral physeal fractures in children: a rare abusive injury.

Pediatr Radiol 2020 Jul 2;50(8):1115-1122. Epub 2020 May 2.

Child and Adolescent Protection Center, Children's National Hospital, Washington, DC, USA.

Background: Proximal femoral physeal fractures are rare in abused children. Recognition may be hampered due to their rarity and lack of an ossified femoral head. Prompt diagnosis and treatment are essential to preventing coxa vara. Read More

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http://dx.doi.org/10.1007/s00247-020-04669-2DOI Listing

A Novel Presentation of Metaphyseal Chondrodysplasia, Schmid Type with Factor VII Deficiency.

Cureus 2020 Mar 23;12(3):e7371. Epub 2020 Mar 23.

Pediatrics, Civil Hospital Karachi, Dow University of Health Sciences, Karachi, PAK.

Metaphyseal chondrodysplasia, Schmid type (MDSC) is a rare inherited autosomal disorder with characteristic skeletal deformities striking on radiological imaging, which includes metaphyseal cupping and fraying. Physical examination reveals short stature in early childhood, frontoparietal bossing, rachitic rosary, genu varum and valgum, and coxa vara usually. We believe that the constellation of clinical and radiographic findings of MDSC might look similar to vitamin D resistant rickets; hence, genetic analysis is needed to overcome diagnostic challenges faced by physicians to avoid unnecessary vitamin D supplementation in individuals. Read More

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http://dx.doi.org/10.7759/cureus.7371DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7176329PMC

Failed Internal Fixation in Bilateral Femoral Neck Stress Fracture Salvaged with Total Hip Arthroplasty: A Report of Two Cases with Literature Review.

Indian J Orthop 2020 Feb 31;54(1):83-86. Epub 2020 Jan 31.

Department of Orthopaedics, Ganga Hospital, 313, Mettupalayam road, Coimbatore, 641043 Tamil Nadu India.

Bilateral Femoral neck stress fractures (FNSFs) are rare without any underlying metabolic disease or repeated strenuous activities like athletes or military recruits. It constitutes about 5-8% of all stress fractures. Treatment options are still controversial. Read More

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http://dx.doi.org/10.1007/s43465-019-00030-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093610PMC
February 2020

[Femoral neck fracture].

Authors:
Claire Bastard

Rev Prat 2019 Dec;69(10):1124-1128

Service de chirurgie orthopédique et traumatologique, hôpital Henri-Mondor, Créteil, France.

FEMORAL NECK FRACTURE. Femoral neck fractures represent the third most common type of fracture in traumatology. The diagnosis is based on the clinic and radiographs of the pelvis and the hip. Read More

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December 2019

[Progress of hip fracture treatment in children].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):404-408

Department of Othopedics, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R.China.

Objective: To review the progress of hip fracture treatment in children.

Methods: Literature about the hip fracture treatment in children was extensively reviewed and summarized in terms of anatomy and blood supply, fracture classification, surgical treatment principles, and complications.

Results: The anatomical structure of children's hips and the characteristics of peripheral blood supply constantly change with age. Read More

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http://dx.doi.org/10.7507/1002-1892.201907005DOI Listing

Poor Outcomes of Children and Adolescents with Femoral Neck Fractures: A Meta-Analysis Based on Clinical Studies.

Orthop Surg 2020 Apr 11;12(2):639-644. Epub 2020 Mar 11.

Department of Orthopedics, Xi'an Hong Hui Hospital, Xi'an Jiaotong University Health Science Center, Xi'an, China.

Objective: To comprehensively assess the differences in outcome between open reduction and closed reduction for children and adolescents with femoral neck fractures.

Methods: Based on the predetermined strategies, eligible studies were obtained by searching Embase, the Cochrane Library, and PubMed databases (retrieval time: June 2018) and through manual retrieval for paper documents. The 95% confidence intervals (CI) and risk ratios (RR) were used as evaluation indexes. Read More

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http://dx.doi.org/10.1111/os.12629DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189036PMC

Analysis of risk factors for complications after femoral neck fracture in pediatric patients.

J Orthop Surg Res 2020 Feb 19;15(1):58. Epub 2020 Feb 19.

Department of Pediatric Orthopedics, Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, 1665 Kongjiang Road, Yangpu District, Shanghai, 200092, China.

Background: Pediatric femoral neck fracture is a rare injury but yields frequent complications. However, there is a paucity of data regarding the risk factors for these complications.

Purpose: The present article reports the rate of complications after femoral neck fracture in pediatric patients and investigates the possible risk factors. Read More

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http://dx.doi.org/10.1186/s13018-020-01587-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029480PMC
February 2020

Proximal Femur Fractures in Children: Enigmatic Injuries.

Instr Course Lect 2019 ;68:443-452

Proximal femoral fractures in the skeletally immature patient can be challenging for the orthopaedic surgeon to manage. This type of injury includes the femoral head/neck, intertrochanteric, and subtrochanteric fractures. The Delbet classification system historically describes all injuries in the pediatric proximal femur, except subtrochanteric fractures. Read More

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February 2020

[Comparison of proximal femoral nail anti-rotation operation in traction bed supine position and non-traction bed lateral position in treatment of intertrochanteric fracture of femur].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Jan;34(1):32-36

Department of Orthopedics, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning Guangxi, 530021,

Objective: To compare the effectiveness of proximal femoral nail anti-rotation (PFNA) in the treatment of intertrochanteric fracture of femur in traction bed supine position and non-traction bed lateral position.

Methods: A retrospective analysis of 102 elderly patients with intertrochanteric fracture of femur who met the selection criteria between January 2013 and April 2018 was made. According to the different operative positions, the patients were divided into two groups: group A (50 cases, PFNA internal fixation in traction bed supine position) and group B (52 cases, PFNA internal fixation in non-traction bed lateral position). Read More

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http://dx.doi.org/10.7507/1002-1892.201905076DOI Listing
January 2020

Slipped capital femoral epiphysis after treatment of femoral neck fracture.

Pak J Med Sci 2020 Jan;36(1):S94-S97

Mansoor Ali Khan, FCPS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.

Slipped capital femoral epiphysis (SCFE) in children after treatment of femoral neck fracture is a very rare condition. This complication should be recognized promptly and treated urgently. The risk of development of this complication can be minimized by anatomical reduction of the fracture and stable internal fixation of the fracture. Read More

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http://dx.doi.org/10.12669/pjms.36.ICON-Suppl.1725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6943107PMC
January 2020

Fever after varus derotational osteotomy is common, but not a risk factor for infection.

Medicine (Baltimore) 2020 Jan;99(1):e18613

Children's Orthopedic Center, Children's Hospital Los Angeles.

Postoperative fever in pediatric patients following reconstructive hip surgery is of unknown significance. This study identifies the prevalence of postoperative fever after corrective hip surgery, its relationship to infection, and whether preventative use of anti-pyretics affects patient outcomes.Overall, 222 patients who underwent a varus derotational osteotomy (VDRO) between 11/1/2004 to 8/1/2014 with minimum 6 months follow up were retrospectively identified. Read More

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http://dx.doi.org/10.1097/MD.0000000000018613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6946189PMC
January 2020

Identification of two novel COL10A1 heterozygous mutations in two Chinese pedigrees with Schmid-type metaphyseal chondrodysplasia.

BMC Med Genet 2019 12 19;20(1):200. Epub 2019 Dec 19.

Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, 600 Yi-Shan Rd., Shanghai, 200233, People's Republic of China.

Background: Schmid-type metaphyseal chondrodysplasia (MCDS) is an autosomal dominant disorder caused by COL10A1 mutations, which is characterized by short stature, waddling gait, coxa vara and bowing of the long bones. However, descriptions of the expressivity of MCDS are rare.

Methods: Two probands and available family members affected with MCDS were subjected to clinical and radiological examination. Read More

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http://dx.doi.org/10.1186/s12881-019-0937-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6923838PMC
December 2019

Free Fracture Fragment Predicts Poorer Outcomes in Adolescents With Delbet II Femoral Neck Fracture.

J Surg Res 2020 Apr 13;248:14-19. Epub 2019 Dec 13.

Department of Orthopedics, Fuzhou Second Hospital affiliated to Xiamen University, Fuzhou, China. Electronic address:

Background: This retrospective multicenter study investigated whether the presence of free fracture fragments is associated with the clinical outcome of adolescents with Delbet II femoral neck fracture (FNF).

Materials And Methods: The study population comprised 74 adolescents with Delbet II FNF, with an average age of 13.31 y (range, 10-17 y). Read More

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http://dx.doi.org/10.1016/j.jss.2019.10.016DOI Listing

An alternative fixation method for femoral varus derotational osteotomy in spastic cerebral palsy: the Rush rod.

J Pediatr Orthop B 2020 Jan;29(1):22-28

Tuckahoe Orthopaedic Associates, Richmond, Virginia, USA.

The objective of this study is to present the clinical and radiographic data collected from patients who were treated with a varus derotational osteotomy using Rush rod fixation and compare this to published norms of outcomes using blade plate fixation. A retrospective chart and radiograph review was conducted after identifying 44 patients with 61 hips who underwent varus derotational osteotomy with Rush rod fixation at our institution between 2006 and 2016. We identified 44 patients with 61 hips who underwent the procedure. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000649DOI Listing
January 2020

Adult Idiopathic Bilateral Coxa Vara with Hip Osteoarthritis Treated with Bilateral Proximal Femur Osteotomy: A Case Report.

JBJS Case Connect 2019 Dec;9(4):e0383

Department of Orthopedic Surgery, Far Eastern Memorial Hospital, New Taipei City, Taiwan.

Case: We reported a case of a 25-year-old woman with idiopathic bilateral coxa vara who had initial presentation of hip osteoarthritis. She was later treated with bilateral subtrochanteric valgus osteotomy. A good functional outcome was recorded without nonunion or deformity recurrence. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00383DOI Listing
December 2019

Limitations of arthroscopy for managing coxa profunda.

Orthop Traumatol Surg Res 2019 12 28;105(8S):S267-S274. Epub 2019 Oct 28.

Centre de chirurgie de la hanche, clinique du sport, Medipôle Garonne, 31036 Toulouse, France.

Coxa profunda is a complex entity that can result in femoro-acetabular impingement (FAI). A meticulous evaluation of the type of acetabular overcoverage is essential to determine which treatment is best suited to each individual patient. Focal overcoverage with no posterior impingement can be treated by arthroscopic recontouring of the disproportionate acetabular wall. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.09.016DOI Listing
December 2019

Evaluation of the Efficacy of Pasteurized Autograft and Intramedullary Vascularized Fibular Transfer for Osteosarcoma of the Femoral Diaphysis.

Orthop Surg 2019 Oct;11(5):826-834

Department of Orthopaedics, The Second Xiangya Hospital, Central South University, Changsha, Hunan, China.

Objective: To assess the treatment of osteosarcomas of the femoral diaphysis through wide en bloc excision and reconstruction of the defect by pasteurized autograft combined with vascularized fibular transfer.

Methods: A single-center, retrospective study was performed of 15 selected patients (six females, nine males) whose lesion in the middle diaphysis of the femur were treated by en bloc excision and reconstruction of the bone defect with recycled pasteurized autograft combined with vascularized fibular graft between January 2000 and December 2011. The primary diagnoses of the patients were osteosarcoma (15 patients), and one of these patients had a pathological fracture. Read More

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http://dx.doi.org/10.1111/os.12528DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6819177PMC
October 2019

The Phenomenon of the Apparent (Double) Femoral Head in Infant Hip Sonography According to Graf-Description, Incidence and Clinical Relevance.

Z Orthop Unfall 2019 Oct 21. Epub 2019 Oct 21.

Clinic and Polyclinic for Orthopedics and Trauma Surgery, University Hospital Bonn.

Purpose: Hip screening sonography according to Graf in rare cases yields the appearance of a double femoral head, aptly named the Double-Head-Sign. The goal of this retrospective study is to offer a definition of this rare sign, evaluate its incidence of occurrence and compare the sonographic findings with the clinical findings.

Materials And Methods: This Double-Head-Sign is caused by the overlap of the trochanter major with the actual head of the femur in cases of coxa vara. Read More

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http://dx.doi.org/10.1055/a-0972-1956DOI Listing
October 2019

Complications After Pediatric Hip Fractures: Evaluation and Management.

J Am Acad Orthop Surg 2020 Jan;28(1):10-19

From the Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC.

Pediatric proximal femur fractures are high-energy injuries with predictable and morbid complications. Osteonecrosis of the femoral head is the most common complication with identified risk factors including fracture type, patient's age, degree of displacement, timing to reduction, and stability of fixation. Additional complications include nonunion, coxa vara, and premature physeal arrest. Read More

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http://dx.doi.org/10.5435/JAAOS-D-17-00689DOI Listing
January 2020
1 Read

Skeletal phenotype/genotype in progressive pseudorheumatoid chondrodysplasia.

Clin Rheumatol 2020 Feb 18;39(2):553-560. Epub 2019 Oct 18.

Institute of Medical Chemistry, Medical University of Vienna, Vienna, Austria.

Background: Axial and extra-axial deceleration in function and progressive joint pain with subsequent development of antalgic gait associated with swellings, and stiffness of the joints with loss of the physiological spine biomechanics were the natural history in this group of patients. Clinical and radiological phenotypes have been analysed carefully to further understand the aetiology behind.

Methods: Seven patients (three children around the age of 9-11 and one child of 17 years old). Read More

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http://dx.doi.org/10.1007/s10067-019-04783-zDOI Listing
February 2020
5 Reads
1.774 Impact Factor

[Clinical study on reduction of difficult-reducing intertrochanteric fracture with ball head screw driver of proximal femoral nail antirotation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Oct;33(10):1250-1253

Department of Trauma Emergency Center, Key Laboratory of Orthopaedics, the Third Hospital of Hebei Medical University, Shijiazhuang Hebei, 050051,

Objective: To evaluate the effectiveness of the leverage reduction with proximal femoral nail antirotation (PFNA) ball head screw driver for difficult-reducing intertrochanteric fracture.

Methods: The clinical data of 8 patients with difficult-reducing intertrochanteric fractures between July 2015 and February 2018 were retrospectively analysed. There were 3 males and 5 females, aged 66-89 years, with an average age of 76. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201805002
Publisher Site
http://dx.doi.org/10.7507/1002-1892.201805002DOI Listing
October 2019
4 Reads

[Research progress on anteromedial cortical positive support reduction in treatment of intertrochanteric fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Oct;33(10):1216-1222

Department of Orthopedic Surgery, Yangpu Hospital, Tongji University, Shanghai, 200090,

Objective: To introduce the reduction concept of anteromedial cortical support in the treatment of intertrochanteric fracture, summarize the history, characteristics, biomechanics, and clinical applications, discuss the unsolved problems and prospect the future directions.

Methods: Relevant domestic and foreign studies on cortical support reduction of intertrochanteric fracture in recent years were reviewed. Conclusions were drawn combined with clinical experience. Read More

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http://dx.doi.org/10.7507/1002-1892.201904154DOI Listing
October 2019
1 Read

Analyzing risk factors for recurrence of developmental coxa vara after surgery.

J Child Orthop 2019 Aug;13(4):361-370

Beijing Research Institute of Traumatology and Orthopaedics, Beijing, China.

Purpose: To evaluate the risk factors for developmental coxa vara (DCV) recurrence following valgus osteotomy of the proximal femur.

Methods: We retrospectively reviewed records of 32 DCV patients (46 hips) treated surgically (2005 to 2012). Recurrence-related factors, including age at initial surgery, side, sex, fixation methods, diagnosis of coxa vara, premature capital femoral physeal closure and postoperative Hilgenreiner epiphyseal (HE) angle, head-shaft (HS) angle, medial femoral offset and posterior slope angle (PSA) were analyzed. Read More

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http://dx.doi.org/10.1302/1863-2548.13.180201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701436PMC
August 2019
1 Read

Findings and Management of the Rare Caput Flexum Deformity of the Hip: A Case Report.

JBJS Case Connect 2019 Jul-Sep;9(3):e0321

Faculty of Medicine, University of Bern, Bern, Switzerland.

Case: A 10-year-old girl presented after possible occult hip trauma, with shortening of the leg being the initial clinical symptom, followed by motion-dependent pain. She had limited external rotation in extension with anterior apprehension. Radiographically, the deformity was an anterior tilt of the epiphysis with coxa vara. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00321DOI Listing
June 2020
3 Reads

The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Femoral Neck Fracture Pearls and Pitfalls.

J Orthop Trauma 2019 Aug;33 Suppl 8:S22-S26

Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH.

Pediatric hip fractures are uncommon injuries but are associated with a high complication rate including avascular necrosis, coxa vara, nonunion, and premature physeal arrest. This is due in part to the unique anatomy of the proximal femur. Management principles are aimed at minimizing the risk of complications and emphasize the importance of early treatment with anatomic reduction and stable internal fixation with a low threshold for supplementing fixation with a spica cast. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001541DOI Listing
August 2019
4 Reads

[Effectiveness of proximal femoral nail antirotation assisted by mesh locator for intertrochanteric fracture in the elderly].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2019 Jun;33(6):666-670

Department of Orthopedics, Shanghai Zhongye Hospital, Shanghai, 200941,

Objective: To explore the effectiveness of proximal femoral nail antirotation (PFNA) assisted by mesh locator in treatment of intertrochanteric fracture in the elderly.

Methods: Ninety-four elderly patients with intertrochanteric fractures admitted between August 2014 and July 2017 were selected as the study subjects. They were randomly divided into trial group (48 cases) and control group (46 cases). Read More

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http://dx.doi.org/10.7507/1002-1892.201808117DOI Listing
June 2019
9 Reads

A Venezuelan Case of Schmid-Type Metaphyseal Chondrodysplasia with a Novel Mutation in .

Mol Syndromol 2019 May 9;10(3):167-170. Epub 2019 Feb 9.

Unit of Medical Genetics, Department of Pediatrics, Faculty of Medicine, University of Los Andes, Mérida, Venezuela.

Schmid-type metaphyseal chondrodysplasia (MIM 156500) is an uncommon autosomal dominant skeletal dysplasia caused by heterozygous mutations in the gene (MIM 120110) encoding the α1(X) chains of type X collagen. We report an 8-year-old girl with waddling gait, short stature, mild dorsal scoliosis, coxa vara, short lower limbs, bowing of the femurs, genu varum, and metaphyseal fraying and splaying, who is a carrier of a novel heterozygous 2-bp (c.1894_1895dupTA; p. Read More

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http://dx.doi.org/10.1159/000496553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6528095PMC
May 2019
3 Reads

Valgus Hip Osteotomy in Children With Spondyloepiphyseal Dysplasia Congenita: Midterm Results.

J Pediatr Orthop 2019 Jul;39(6):282-288

Department of Orthopedics, Nemours/Alfred I. duPont Hospital for Children, Wilmington, DE.

Background: Coxa vara has been frequently reported in spondyloepiphyseal dysplasia congenita (SEDC), and proximal femoral osteotomy has been described as a useful treatment. The aim of this study was to discuss the clinical, radiographic, and gait outcomes after valgus extension osteotomy of the proximal femur. Changes of lumbar lordosis, associated with coxa vara correction, are reported as well as the outcome differences between different ages. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000945DOI Listing
July 2019
6 Reads

The 'critical trochanter angle': a predictor for stem alignment in total hip arthroplasty.

J Orthop Surg Res 2019 May 30;14(1):165. Epub 2019 May 30.

Department of Orthopaedics and Orthopaedic Surgery, Saarland University, Homburg, Germany.

Introduction: Stem malalignment can affect offset reconstruction and may result in gluteal muscle insufficiency. In this retrospective study, a novel geometric angle named 'critical trochanter angle' (CTA) is described and investigated towards the risk of malposition of a collarless straight tapered hydroxyapatite-coated stem in primary total hip arthroplasty (THA).

Material And Methods: A total of 100 cementless THA were implanted in patients with unilateral coxarthrosis via the direct anterior (n = 50) or direct lateral Hardinge approach (n = 50) in a two surgeon setting using the Corail® or Trendhip® stem (DePuy Synthes or Aesculap). Read More

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http://dx.doi.org/10.1186/s13018-019-1206-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6542108PMC
May 2019
11 Reads

Surgical correction of coxa vara: Evaluation of neck shaft angle, Hilgenreiner-epiphyseal angle for indication of recurrence.

J Clin Orthop Trauma 2019 May-Jun;10(3):593-598. Epub 2018 Jun 28.

Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Background: Coxa vara is a hip deformity in which the femoral neck-shaft angle decreases below its normal value. Standard surgical treatment for this condition is corrective valgus osteotomy. Appropriate correction of the Hilgenreiner-epiphyseal angle is important to prevent recurrence. Read More

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http://dx.doi.org/10.1016/j.jcot.2018.06.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494758PMC
June 2018
8 Reads

Damage control orthopedics applied in an 8-year-old child with life-threatening multiple injuries: A CARE-compliant case report.

Medicine (Baltimore) 2019 Apr;98(16):e15294

University Children's Hospital Basel (UKBB), Department of Pediatric Surgery, 4056 Basel.

Rationale: Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child is reoperated for definitive repair of injuries. Read More

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http://Insights.ovid.com/crossref?an=00005792-201904190-0005
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000015294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6494245PMC
April 2019
14 Reads

[Specific cases of slipped capital femoral epiphysis : Endocrinopathies, hormone therapy and other rare causes].

Orthopade 2019 Aug;48(8):685-692

Orthopädische Klinik, Olgahospital, Klinikum Stuttgart, Kriegsbergstr. 62, 70174, Stuttgart, Deutschland.

In slipped capital femoral epiphysis (SCFE) atypical causes can be found in about 5% of cases. The patients' age differs from the typical age of SCFE patients of between age 10 and 16. There are numerous causes of atypical SCFE: different endocrine disorders, sequelae of chronic renal failure and effects of radiation and chemotherapy on the proximal femoral physis. Read More

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http://dx.doi.org/10.1007/s00132-019-03728-3DOI Listing
August 2019
10 Reads

Bi-allelic Variants in TONSL Cause SPONASTRIME Dysplasia and a Spectrum of Skeletal Dysplasia Phenotypes.

Am J Hum Genet 2019 03 14;104(3):422-438. Epub 2019 Feb 14.

Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Texas Children's Hospital, Houston, TX 77030, USA. Electronic address:

SPONASTRIME dysplasia is an autosomal-recessive spondyloepimetaphyseal dysplasia characterized by spine (spondylar) abnormalities, midface hypoplasia with a depressed nasal bridge, metaphyseal striations, and disproportionate short stature. Scoliosis, coxa vara, childhood cataracts, short dental roots, and hypogammaglobulinemia have also been reported in this disorder. Although an autosomal-recessive inheritance pattern has been hypothesized, pathogenic variants in a specific gene have not been discovered in individuals with SPONASTRIME dysplasia. Read More

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http://dx.doi.org/10.1016/j.ajhg.2019.01.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408318PMC
March 2019
23 Reads
10.931 Impact Factor

McCune-Albright syndrome and the shepherd crook deformity.

Joint Bone Spine 2019 07 31;86(4):511. Epub 2019 Jan 31.

Rheumatology Department, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal.

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http://dx.doi.org/10.1016/j.jbspin.2019.01.010DOI Listing
July 2019
22 Reads

The Managment of cervical spine abnormalities in children with spondyloepiphyseal dysplasia congenita: Observational study.

Medicine (Baltimore) 2019 Jan;98(1):e13780

Department of Medical Chemistry, Medical University of Vienna, Vienna, Austria.

Spondyloepiphyseal dysplasia congenita (SEDC) is an autosomal dominant disorder, characterized by disproportionate dwarfism with short spine, short neck associated with variable degrees of coxa vara. Cervical cord compression is the most hazardous skeletal deformity in patients with SEDC which requires special attention and management.Ten patients with the clinical and the radiographic phenotypes of spondyloepiphyseal dysplasia congenita have been recognized and the genotype was compatible with single base substitutions, deletions or duplication of part of the COL2A1 gene (6 patients out of ten have been sequenced). Read More

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http://dx.doi.org/10.1097/MD.0000000000013780DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344193PMC
January 2019
39 Reads
5.723 Impact Factor

Novel fibronectin mutations and expansion of the phenotype in spondylometaphyseal dysplasia with "corner fractures".

Bone 2019 04 30;121:163-171. Epub 2018 Dec 30.

CHU Sainte Justine Research Centre and Department of Pediatrics, University of Montreal, Montreal, QC H3T 1C5, Canada. Electronic address:

Heterozygous pathogenic variants in the FN1 gene, encoding fibronectin (FN), have recently been shown to be associated with a skeletal disorder in some individuals affected by spondylometaphyseal dysplasia with "corner fractures" (SMD-CF). The most striking feature characterizing SMD-CF is irregularly shaped metaphyses giving the appearance of "corner fractures". An array of secondary features, including developmental coxa vara, ovoid vertebral bodies and severe scoliosis, may also be present. Read More

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http://dx.doi.org/10.1016/j.bone.2018.12.020DOI Listing
April 2019
12 Reads

A Case of Fibrous Dysplasia with Bilateral Shepherd Crook Deformity Treated with Dynamic Hip Screw Fixation.

J Orthop Case Rep 2018 May-Jun;8(3):33-37

Department of Orthopaedics, Sri Ramachandra Medical University, Chennai, Tamil Nadu, India.

Introduction: Fibrous dysplasia is a rare benign disorder of the skeletal system characterized by fibro-osseous proliferation with intervening areas of normal or immature bone in the intramedullary region. It can either be a monostotic (involves one bone) or a polyostotic (involves more than one bone) presentation and usually occurs equally in males and females. Deformities such as scoliosis and shepherd's crook deformity are frequently encountered in the polyostotic form. Read More

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http://dx.doi.org/10.13107/jocr.2250-0685.1096DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298711PMC
December 2018
25 Reads

Preoperative valgus deformity has twice the risk of failure as compared to varus deformity after total knee arthroplasty.

Knee Surg Sports Traumatol Arthrosc 2019 Sep 11;27(9):3041-3047. Epub 2018 Dec 11.

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Giulio Cesare Pupilli 1, 40136, Bologna, Italy.

Purpose: The aim of this study was to assess whether preoperative valgus or varus deformity affected survivorship after total knee arthroplasty (TKA) and to quantify the risk factors for implant failure in a registry-based population.

Methods: The Emilia-Romagna Registry of Prosthetic Orthopedic Implants was examined regarding TKAs performed on patients with a preoperative diagnosis of valgus or varus deformity. Demographics, implant characteristic and survivorships were investigated and compared. Read More

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http://dx.doi.org/10.1007/s00167-018-5331-6DOI Listing
September 2019
5 Reads

Femoral Neck Fractures in Children: A Review.

Authors:
Thomas Palocaren

Indian J Orthop 2018 Sep-Oct;52(5):501-506

Department of Orthopaedics, Christian Medical College, Vellore, Tamil Nadu, India.

Paediatric femoral neck fractures are uncommon injuries and are usually caused by high-energy trauma. Low-energy trauma can result in pathologic neck fractures and stress fractures of the neck, due to repetitive activity. Surgical options can vary based on age, Delbet classification and displacement of the fracture. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_404_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6142798PMC
September 2018
12 Reads

Schmid Type Metaphyseal Chondrodysplasia with a Novel COL10A1 Mutation.

Indian J Pediatr 2019 Feb 12;86(2):183-185. Epub 2018 Sep 12.

Department of Radiology, SMS Medical College and Associated Hospital, Jaipur, Rajasthan, India.

Schmid type metaphyseal chondrodysplasia (SMCD) is a rare skeletal dysplasia, characterized by short stature, short limbs, bowing of the legs, and radiographic features of metaphyseal irregularities with fraying and splaying, more severe at the knee. It is caused by mutations of the COL10A1 gene. The authors present an Indian patient with a novel COL10A1 gene mutation. Read More

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http://dx.doi.org/10.1007/s12098-018-2791-0DOI Listing
February 2019
5 Reads

Neutral or Natural? Functional Impact of the Coronal Alignment in Total Knee Arthroplasty.

J Knee Surg 2019 Aug 7;32(8):820-824. Epub 2018 Sep 7.

Department of Trauma and Hand Surgery, Universitätsklinikum Düsseldorf, Düsseldorf, Germany.

Total knee arthroplasty (TKA) is a very successful procedure. The alignment in TKA has been identified as being of importance to prevent early implant failure and patient dissatisfaction. Our hypothesis was that patients with a preoperative varus deformation remaining in a slight varus alignment as their natural alignment after TKA will have superior clinical results compared with patients who are restored in neutral alignment. Read More

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http://dx.doi.org/10.1055/s-0038-1669788DOI Listing
August 2019
29 Reads

[Modified neck-lengthening osteotomy after Morscher in children and adolescents].

Oper Orthop Traumatol 2018 Oct 8;30(5):379-386. Epub 2018 Aug 8.

Klinik und Poliklinik für Orthopädie und Unfallchirurgie, Universitätsklinikum Bonn, Sigmund-Freud-Str. 25, 53105, Bonn, Deutschland.

Objective: Growth disorders (e. g. caused by congenital hip dislocation, Perthes disease or bacterial coxitis) often lead to an infantile deformity of the proximal femur with a shortened femoral neck and displaced grater trochanter. Read More

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http://dx.doi.org/10.1007/s00064-018-0561-9DOI Listing
October 2018
52 Reads

Further delineation of spondyloepimetaphyseal dysplasia Faden-Alkuraya type: A RSPRY1-associated spondylo-epi-metaphyseal dysplasia with cono-brachydactyly and craniosynostosis.

Am J Med Genet A 2018 09 31;176(9):2009-2016. Epub 2018 Jul 31.

Division of Pediatric Genetics, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Our understanding of the molecular basis of the genetic disorders of the skeleton has steadily increased, as the application of high-throughput sequencing technology has expanded. One of the newcomers is Spondyloepimetaphyseal dysplasia Faden-Alkuraya type. In this study, we aimed to further delineate the clinical, radiographic, and molecular findings of this entity in five affected individuals from two unrelated families. Read More

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http://dx.doi.org/10.1002/ajmg.a.40427DOI Listing
September 2018
17 Reads

Schmid's Type of Metaphyseal Chondrodysplasia: Diagnosis and Management.

Orthop Surg 2018 Aug 19;10(3):241-246. Epub 2018 Jul 19.

Institute of Medical Chemistry, Medical University of Vienna, Austria.

Objectives: There are several types of metaphyseal chondrodysplasia and various clinical types have been differentiated. The Schmid type of metaphyseal chondrodysplasia is the most common. Diffuse metaphyseal flaring, irregularity, and growth plate widening, which are most severe in the knees, are the most striking radiological features of this disease. Read More

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http://dx.doi.org/10.1111/os.12382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6594483PMC
August 2018
69 Reads

Acute effects of different orthotic interventions on knee loading parameters in knee osteoarthritis patients with varus malalignment.

Knee 2018 Oct 17;25(5):825-833. Epub 2018 Jul 17.

Funktionsbereich Bewegungsanalytik, IEMM, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, Gebäude D3, 48129 Münster, Germany.

Background: Knee osteoarthritis (KOA) is the most common form of arthritis with an estimated lifetime prevalence of 45%. The use of orthotic devices is a generally accepted conservative therapy in KOA. A new conservative treatment is an ankle-foot orthosis (AFO); however, studies on the biomechanical effects are limited. Read More

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http://dx.doi.org/10.1016/j.knee.2018.06.017DOI Listing
October 2018
27 Reads