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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 5, 726-730.
doi: 10.1302/0301-620X.86B5.13897  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Valgus femoral osteotomy for hinge abduction in Perthes’ disease

DECISION-MAKING AND OUTCOMES

W. J. Yoo, MD, Instructor1; I. H. Choi, MD, Professor and Chairman1; C. Y. Chung, MD, Associate Professor1; T.-J. Cho, MD, Associate Professor1; and H. Y. Kim, MD, Associate Professor2

1 Department of Orthopaedic Surgery, Seoul National University Children’s Hospital, 28 Yongdon-dong, Chongno-gu, Seoul 110-744, Korea.
2 Department of Orthopaedic Surgery, Eulji University, Hospital, Mok-dong 24, Jung-gu, Taejeon 301-726, Korea.

Correspondence should be sent to Professor I. H. Choi.

We studied, clinically and radiologically, the growth and remodelling of 21 hips after valgus femoral osteotomy with both rotational and sagittal correction for hinge abduction in 21 patients (mean age, 9.7 years) with Perthes’ disease. The exact type of osteotomy performed was based on the pre-operative clinical and radiological assessment and the results of intra-operative dynamic arthrography. The mean IOWA hip score was 66 (34 to 76) before surgery and 92 (80 to 100) at a mean follow-up of 7.1 years (3.0 to 15.0). Radiological measurements revealed favourable remodelling of the femoral head and improved hip joint mechanics.

Valgus osteotomy, with both rotational and sagittal correction, can improve symptoms, function and remodelling of the hip in patients with Perthes’ disease.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General