Anterior femoral epiphysiodesis for the treatment of fixed knee flexion deformity in spina bifida patients.
Standard
Anterior femoral epiphysiodesis for the treatment of fixed knee flexion deformity in spina bifida patients. / Spiro, Alexander Simon; Babin, Kornelia; Lipovac, Sandra; Rupprecht, Martin; Meenen, Norbert; Rueger, Johannes Maria; Stücker, Ralf.
In: J PEDIATR ORTHOP B, Vol. 30, No. 8, 8, 2010, p. 858-862.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Anterior femoral epiphysiodesis for the treatment of fixed knee flexion deformity in spina bifida patients.
AU - Spiro, Alexander Simon
AU - Babin, Kornelia
AU - Lipovac, Sandra
AU - Rupprecht, Martin
AU - Meenen, Norbert
AU - Rueger, Johannes Maria
AU - Stücker, Ralf
PY - 2010
Y1 - 2010
N2 - Fixed knee flexion deformity is a common problem in spina bifida patients. Owing to interference with ambulation, this deformity may lead to anterior knee pain and progressive crouch gait. If conservative treatment fails, surgical procedures including supracondylar femoral extension osteotomy, joint distraction, and posterior capsulotomy have to be considered. Potential complications of these procedures are fractures, neurovascular lesions, knee instability, and recurrent deformity with continued growth. As fixed knee flexion deformity in spina bifida patients frequently occurs bilaterally, this results in higher perioperative and postoperative risks and prolonged recovery, making these relatively invasive methods less appealing. In the skeletal immature patient, anterior femoral stapling is a feasible method to treat fixed knee flexion deformity as could be shown in an earlier study. In this study, anterior femoral stapling was performed in a series of patients with diverse etiologies, and the overall success rate was then calculated. The aim of this study was to determine whether anterior femoral epiphysiodesis may improve fixed knee flexion deformity in a group of spina bifida patients.
AB - Fixed knee flexion deformity is a common problem in spina bifida patients. Owing to interference with ambulation, this deformity may lead to anterior knee pain and progressive crouch gait. If conservative treatment fails, surgical procedures including supracondylar femoral extension osteotomy, joint distraction, and posterior capsulotomy have to be considered. Potential complications of these procedures are fractures, neurovascular lesions, knee instability, and recurrent deformity with continued growth. As fixed knee flexion deformity in spina bifida patients frequently occurs bilaterally, this results in higher perioperative and postoperative risks and prolonged recovery, making these relatively invasive methods less appealing. In the skeletal immature patient, anterior femoral stapling is a feasible method to treat fixed knee flexion deformity as could be shown in an earlier study. In this study, anterior femoral stapling was performed in a series of patients with diverse etiologies, and the overall success rate was then calculated. The aim of this study was to determine whether anterior femoral epiphysiodesis may improve fixed knee flexion deformity in a group of spina bifida patients.
M3 - SCORING: Zeitschriftenaufsatz
VL - 30
SP - 858
EP - 862
IS - 8
M1 - 8
ER -