Logo of The Journal of Bone & Joint Surgery (Br)
Quick search:        
          Advanced Search
Guest Access | Sign In
This Article
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow My Folders
Right arrow Download to citation manager
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bankes, M. J. K.
Right arrow Articles by Hashemi-Nejad, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bankes, M. J. K.
Right arrow Articles by Hashemi-Nejad, A.

Valgus extension osteotomy for ‘hinge abduction’ in Perthes’ disease

RESULTS AT MATURITY AND FACTORS INFLUENCING THE RADIOLOGICAL OUTCOME

M. J. K. Bankes, FRCS Orth, Specialist Orthopaedic Registrar; A. Catterall, MChir, FRCS, Consultant Orthopaedic Surgeon; and A. Hashemi-Nejad, FRCS Orth, Consultant Orthopaedic Surgeon

Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

Correspondence should be sent to Mr M. J. K. Bankes at 18 Howard Walk, London N2 0HB, UK.

Valgus extension osteotomy (VGEO) is a salvage procedure for ‘hinge abduction’ in Perthes’ disease. The indications for its use are pain and fixed deformity. Our study shows the clinical results at maturity of VGEO carried out in 48 children (51 hips) and the factors which influence subsequent remodelling of the hip. After a mean follow-up of ten years, total hip replacement has been carried out in four patients and arthrodesis in one. The average Iowa Hip Score in the remainder was 86 (54 to 100). Favourable remodelling of the femoral head was seen in 12 hips. This was associated with three factors at surgery; younger age (p = 0.009), the phase of reossification (p = 0.05) and an open triradiate cartilage (p = 0.0007). Our study has shown that, in the short term, VGEO relieves pain and corrects deformity; as growth proceeds it may produce useful remodelling in this worst affected subgroup of children with Perthes’ disease.




This article has been cited by other articles:


Home page
 J Bone Joint Surg BrHome page
M. M. Mullins, M. Sood, A. Hashemi-Nejad, and A. Catterall
The management of avascular necrosis after slipped capital femoral epiphysis
J Bone Joint Surg Br, December 1, 2005; 87-B(12): 1669 - 1674.
[Abstract] [Full Text] [PDF]


(c) British Editorial Society of Bone and Joint Surgery All Rights Reserved
Registered charity no: 209299     Print ISSN: 0301-620X
Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General