Haces F, Rosales ME

Language: Spanish
References: 14
Page: 19-23
PDF size: 1014.41 Kb.

ABSTRACT

Twenty patients with coxa vara (31 hips), fourteen with developmental dysplasia of the hip (DDH), eight with congenital coxa vara, four with sequelae of avascular necrosis of the hip, four with sequelae of septic arthritis of the hip and one with chronic slipped capital femoral epyphisis were treated with distal transfer of the greater trochanter of the femur. The minimum age of surgery was 5.1 years and maximum of 15 years. The indications for surgery were coxa vara with a lurching gait, a positive Trendelemburg sign, weakness of gluteus medius and abduction of less than 25 degrees. Follow-up of 8 years and 11 months. Results were good in 17 hips (54.8%), fair in 6 (19.3%), and poor in 8 (25.870). Poor results were related to limb shortening equal to 3 centimeters or more. Fifty percent of poor results had septic arthritis sequelae. Surgical transfer of the greater trochanter is a technique that improves gait, with correction of Trendelemburg sign, improves muscle strength and range of motion of the hip.

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