Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture
Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to...
Ausführliche Beschreibung
Autor*in: |
Magu, Narender Kumar [verfasserIn] Rohilla, Rajesh [verfasserIn] Singh, Roop [verfasserIn] Tater, Rochak [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2009 |
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Übergeordnetes Werk: |
Enthalten in: Clinical orthopaedics and related research - Philadelphia, PA : Wolters Kluwer Health, 1963, 467(2009), 4 vom: 14. Jan., Seite 1064-1073 |
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Übergeordnetes Werk: |
volume:467 ; year:2009 ; number:4 ; day:14 ; month:01 ; pages:1064-1073 |
Links: |
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DOI / URN: |
10.1007/s11999-008-0695-4 |
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Katalog-ID: |
SPR023542616 |
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520 | |a Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. | ||
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10.1007/s11999-008-0695-4 doi (DE-627)SPR023542616 (SPR)s11999-008-0695-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Magu, Narender Kumar verfasserin aut Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. Femoral Head (dpeaa)DE-He213 Femoral Neck Fracture (dpeaa)DE-He213 Valgus Osteotomy (dpeaa)DE-He213 Intertrochanteric Osteotomy (dpeaa)DE-He213 Coxa Vara (dpeaa)DE-He213 Rohilla, Rajesh verfasserin aut Singh, Roop verfasserin aut Tater, Rochak verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 467(2009), 4 vom: 14. Jan., Seite 1064-1073 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:467 year:2009 number:4 day:14 month:01 pages:1064-1073 https://dx.doi.org/10.1007/s11999-008-0695-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 467 2009 4 14 01 1064-1073 |
spelling |
10.1007/s11999-008-0695-4 doi (DE-627)SPR023542616 (SPR)s11999-008-0695-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Magu, Narender Kumar verfasserin aut Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. Femoral Head (dpeaa)DE-He213 Femoral Neck Fracture (dpeaa)DE-He213 Valgus Osteotomy (dpeaa)DE-He213 Intertrochanteric Osteotomy (dpeaa)DE-He213 Coxa Vara (dpeaa)DE-He213 Rohilla, Rajesh verfasserin aut Singh, Roop verfasserin aut Tater, Rochak verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 467(2009), 4 vom: 14. Jan., Seite 1064-1073 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:467 year:2009 number:4 day:14 month:01 pages:1064-1073 https://dx.doi.org/10.1007/s11999-008-0695-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 467 2009 4 14 01 1064-1073 |
allfields_unstemmed |
10.1007/s11999-008-0695-4 doi (DE-627)SPR023542616 (SPR)s11999-008-0695-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Magu, Narender Kumar verfasserin aut Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. Femoral Head (dpeaa)DE-He213 Femoral Neck Fracture (dpeaa)DE-He213 Valgus Osteotomy (dpeaa)DE-He213 Intertrochanteric Osteotomy (dpeaa)DE-He213 Coxa Vara (dpeaa)DE-He213 Rohilla, Rajesh verfasserin aut Singh, Roop verfasserin aut Tater, Rochak verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 467(2009), 4 vom: 14. Jan., Seite 1064-1073 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:467 year:2009 number:4 day:14 month:01 pages:1064-1073 https://dx.doi.org/10.1007/s11999-008-0695-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 467 2009 4 14 01 1064-1073 |
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10.1007/s11999-008-0695-4 doi (DE-627)SPR023542616 (SPR)s11999-008-0695-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Magu, Narender Kumar verfasserin aut Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. Femoral Head (dpeaa)DE-He213 Femoral Neck Fracture (dpeaa)DE-He213 Valgus Osteotomy (dpeaa)DE-He213 Intertrochanteric Osteotomy (dpeaa)DE-He213 Coxa Vara (dpeaa)DE-He213 Rohilla, Rajesh verfasserin aut Singh, Roop verfasserin aut Tater, Rochak verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 467(2009), 4 vom: 14. Jan., Seite 1064-1073 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:467 year:2009 number:4 day:14 month:01 pages:1064-1073 https://dx.doi.org/10.1007/s11999-008-0695-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 467 2009 4 14 01 1064-1073 |
allfieldsSound |
10.1007/s11999-008-0695-4 doi (DE-627)SPR023542616 (SPR)s11999-008-0695-4-e DE-627 ger DE-627 rakwb eng 610 ASE 44.83 bkl Magu, Narender Kumar verfasserin aut Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. Femoral Head (dpeaa)DE-He213 Femoral Neck Fracture (dpeaa)DE-He213 Valgus Osteotomy (dpeaa)DE-He213 Intertrochanteric Osteotomy (dpeaa)DE-He213 Coxa Vara (dpeaa)DE-He213 Rohilla, Rajesh verfasserin aut Singh, Roop verfasserin aut Tater, Rochak verfasserin aut Enthalten in Clinical orthopaedics and related research Philadelphia, PA : Wolters Kluwer Health, 1963 467(2009), 4 vom: 14. Jan., Seite 1064-1073 (DE-627)316019062 (DE-600)2018318-5 1528-1132 nnns volume:467 year:2009 number:4 day:14 month:01 pages:1064-1073 https://dx.doi.org/10.1007/s11999-008-0695-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_187 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2055 GBV_ILN_2059 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2106 GBV_ILN_2108 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 44.83 ASE AR 467 2009 4 14 01 1064-1073 |
language |
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Enthalten in Clinical orthopaedics and related research 467(2009), 4 vom: 14. Jan., Seite 1064-1073 volume:467 year:2009 number:4 day:14 month:01 pages:1064-1073 |
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topic_facet |
Femoral Head Femoral Neck Fracture Valgus Osteotomy Intertrochanteric Osteotomy Coxa Vara |
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container_title |
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Magu, Narender Kumar @@aut@@ Rohilla, Rajesh @@aut@@ Singh, Roop @@aut@@ Tater, Rochak @@aut@@ |
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2009-01-14T00:00:00Z |
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Magu, Narender Kumar |
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Magu, Narender Kumar ddc 610 bkl 44.83 misc Femoral Head misc Femoral Neck Fracture misc Valgus Osteotomy misc Intertrochanteric Osteotomy misc Coxa Vara Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture |
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610 ASE 44.83 bkl Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture Femoral Head (dpeaa)DE-He213 Femoral Neck Fracture (dpeaa)DE-He213 Valgus Osteotomy (dpeaa)DE-He213 Intertrochanteric Osteotomy (dpeaa)DE-He213 Coxa Vara (dpeaa)DE-He213 |
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Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture |
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Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture |
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modified pauwels’ intertrochanteric osteotomy in neglected femoral neck fracture |
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Modified Pauwels’ Intertrochanteric Osteotomy in Neglected Femoral Neck Fracture |
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Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
abstractGer |
Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
abstract_unstemmed |
Abstract Many reported treatment methods for neglected femoral neck fractures do not always satisfactorily address nonunion, coxa vara, and limb shortening. We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
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We retrospectively reviewed the functional outcome of the modified Pauwels’ intertrochanteric osteotomy in 48 adults (mean age, 48.1 years) to determine whether this approach would correct those problems. The average preoperative limb shortening was 2.7 cm (range, 1.5–5 cm) in 38 patients and mean neck-shaft angle was 107.3° (range, 80°–120°). The minimum followup was 2 years (mean, 6.1 years; range, 2–16.5 years). Union was achieved in 44 of the 48 patients. Union also was achieved in two of the four nonunions after revision osteotomy. Postoperative avascular necrosis of the femoral head developed in two of the 48 patients after an average followup of 6 years. Limb-length equalization was achieved in 40 (83%) patients and 40 had near-normal gait. The average neck-shaft angle at the final followup was 132.7° (range, 120°–155°). The average Harris hip score was 86.7 points and Merle d’Aubigné-Postel score was 14.1. We believe the primary modified Pauwels’ intertrochanteric osteotomy is a reliable alternative to achieve fracture healing in neglected femoral neck fractures and simultaneously correct associated coxa vara and shortening. A two-stage surgical incision makes the procedure simple and less demanding. Level of Evidence: Level IV, therapeutic study. 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