ReviewOperative Orthopadie und Traumatologie2018
[Modified neck-lengthening osteotomy after Morscher in children and adolescents].
Review in Operative Orthopadie und Traumatologie, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
4 citing papers in PubMed, 7 citations in OpenAlex.
- [Extension osteotomy of the lateral distal femur using the contralateral TomoFix® plate].Operative Orthopadie und Traumatologie · 2022Review
- Morscher's femoral neck lengthening osteotomy through surgical hip dislocation approach for preservation of Perthes and Perthes-like deformities.Journal of children's orthopaedics · 2022Article
- A review of outcomes associated with femoral neck lengthening osteotomy in patients with coxa brevis.Journal of children's orthopaedics · 2020Article
- [Gluteal insufficiency].Der Orthopade · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveGrowth disorders (e. g. caused by congenital hip dislocation, Perthes disease or bacterial coxitis) often lead to an infantile deformity of the proximal femur with a shortened femoral neck and displaced grater trochanter. In 1988, Morscher and Buess described a femoral neck lenghtening osteotomy for treatment of adults. For the first time, we show a modification of this osteotomy for children and adolescents with a locking plate system. The aim is to restore the normal anatomy of the femoral neck and biomechanics of the proximal femur. INDICATIONS: All symptomatic deformities of the proximal femur with a shortened femoral neck and a proximal displacement of the greater trochanter. CONTRAINDICATIONS: Bacterial coxitis within the last two years; elevated infections parameters. Acetabular dysplasia with a lack of femoral head containment. SURGICAL TECHNIQUE: Two osteotomies: one at the level of the greater trochanter to transfer it. The second osteotomy at the level of the distal femoral neck. Stabilization with a locking plate system (LCP Pediatric Hip Plate 130°, Synthes, Oberdorf, Switzerland). POSTOPERATIVE MANAGEMENT: Full weight bearing to a body weight of 55 kg; partial weight bearing with a body weight >55 kg for 6 weeks.
resultsNo intraoperative or postoperative complications were observed in 5 female patients (mean age 11.67 years). After a follow-up of 6-12 weeks, none of the patients presented a Trendelenburg's sign. After 3-6 months, full range of motion was possible.
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