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Journal of Research in Orthopedic Science، جلد ۸، شماره ۲، صفحات ۶۵-۷۰
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژههای فارسی مقاله |
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| عنوان انگلیسی |
Valgus Osteotomy Outcome for Treating Femoral Neck Non:union: in Young and Active Patients |
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| چکیده انگلیسی مقاله |
Background: Femoral neck fracture non:union: is a frequent and challenging complication, with several surgical options. Objectives: The present study reported the outcome of valgus osteotomy for treating femoral neck non:union: in patients aged < 65 years. Methods: This case series research included young patients who underwent valgus osteotomy for treating femoral neck non:union: or device failure of the index surgery. The fixation of the osteotomy site was performed using either a dynamic hip screw or a fixed angle blade. The :union: of the neck and osteotomy site (subtrochanteric region) was evaluated by monitoring callus formation in the postoperative radiographs. Limb length discrepancy, Pauwels' angle, and the neck-shaft angle were evaluated before the surgery and at the last follow-up. Postoperative complications were extracted from the explored patients' profiles. Results: Twenty patients with a Mean±SD age of 27.2±10.8 years were examined in this study. The Mean±SD follow-up time of the patients was 6.1±3.9 years. The femoral neck was united in 18 patients in a Mean±SD period of 5.1±2.3 months. The Mean±SD limb length discrepancy was measured as 1.3±0.8 cm before and 0.5±0.7 cm after the osteotomy. The Mean±SD Pauwels' angle was calculated as 65.5±16.9º before and 32.4±16.2º after the osteotomy. The Mean±SD neck-shaft angle was computed to be 121.9±22.8º before and 144.5±17.7º after the osteotomy. Revision surgery was performed for 6 (30%) patients. This measure included device removal in 4 and total hip arthroplasty in 2 patient. Conclusion: Valgus osteotomy is a safe and efficient technique for managing femoral neck non:union:. Therefore, this approach is suggested as a good alternative for total hip arthroplasty, particularly in young and active patients. |
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| کلیدواژههای انگلیسی مقاله |
Femoral neck fracture, Non,:union:,, Genu valgum, Valgus osteotomy |
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| نویسندگان مقاله |
| Kaveh Gharanizadeh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
| Hamed Tayyebi
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
| Abbas Esmaeli
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
| Maziar Rajei
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
| Mohamadreza Heidarikhoo
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
| Mehdi Siahpoosh
Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
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| نشانی اینترنتی |
http://jros.iums.ac.ir/browse.php?a_code=A-10-400-1&slc_lang=en&sid=1 |
| فایل مقاله |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
جراحی هیپ |
| نوع مقاله منتشر شده |
پژوهشی |
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