Abstract
Proximal femoral osteotomy (PFO) with periacetabular osteotomy (PAO) improves femoral head coverage in patients with proximal femoral and acetabular dysplasia. Historically, blade plates used in the PFO cause soft-tissue irritation and often lead to implant removal. Here we present a technique using a lower profile pediatric proximal femoral locking compression plate (LCP) for the PFO in a series of adults. The results from 13 hips in 11 patients ≥ 18years old (age 18-37) with > 10months of follow-up are presented. All patients had improved radiographic parameters, pain, and total Merle d'Aubigné-Postel scores postoperatively. Eleven hips (85%) had the LCP removed an average of 15.8 ± 8.6months postoperatively, often due to pain over the greater trochanter. The pediatric proximal femoral LCP is effective for PFO in combined PAO PFO procedures but has a high rate of lateral hip discomfort leading to implant removal.
Published Version
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Schedule a callMore From: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
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