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The treatment of progressive coxa vara in children with bone softening disorders

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Summary

Fractures of the proximal femur frequently occur in children with osteogenesis imperfecta or fibrous dyplasia and may lead to progressive coxa vara and a “shepherds crook” deformity. We have found existing methods of fixation of the femoral neck in small children to be unsatisfactory. We have devised a method of fixation using a small signal arm nail. With a mean follow up of 9.3 years there was a successful outcome in all 11 hips treated.

Résumé

Dans l'ostéogénèse imparfaite et dans la dysplasie fibreuse les fractures de l'extrémité supérieure du fémur entraînent fréquemment une coxa vara progressive et une déformation en crosse. Nous présentons une méthode de fixation utilisant un clou en Y modifié qui a donné de bons résultats dans tous les cas.

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Authors and Affiliations

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

    P. J. Livesley, J. C. R. McAllister & A. Catterrall

Authors
  1. P. J. Livesley
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  2. J. C. R. McAllister
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  3. A. Catterrall
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Livesley, P.J., McAllister, J.C.R. & Catterrall, A. The treatment of progressive coxa vara in children with bone softening disorders. International Orthopaedics 18, 310–312 (1994). https://doi.org/10.1007/BF00180233

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  • DOI: https://doi.org/10.1007/BF00180233

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