Literature DB >> 22448074

Author's reply.

Tamer El-Sobky1.   

Abstract

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Year:  2012        PMID: 22448074      PMCID: PMC3308677     

Source DB:  PubMed          Journal:  Indian J Orthop        ISSN: 0019-5413            Impact factor:   1.251


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Sir, Thanks for expressing interest1 in the article titled, “Subtrochanteric valgus osteotomy in developmental coxa vara,” published in Indian Journal of Orthopaedics,2 and for delivering valuable comments. The purpose of the study was two fold. The first was offering an alternative method of rigid and stable fixation that alleviates the need of postoperative spica application to provide immobilization. The second purpose of the study was related to modification of the Pauwel's Y-shaped intertrochanteric osteotomy. In this study, no direct correlation was drawn between the deformity correction in degrees and leg length in millimeters. Nevertheless, it has been theoretically and clinically verified that the same amount of deformity correction can be achieved with less amount of shortening in Y-shaped osteotomy than the classic V osteotomy.3 Besides, a direct correlation needs the osteotomy site to be fixed in relation to an anatomical landmark. Otherwise, measurement errors related to different osteotomy sites may undermine the validity of the correlation. In the current study, the site of the subtrochanteric osteotomy was not fixed. The subtrochanteric osteotomy did delay the union radiologically, but this did not have any clinical influence because all children were allowed to start weight bearing after 8 weeks based on progress of union and rigidity of fixation without waiting for full radiographic union. The relatively short followup was the limitation to the study. The true incidence of recurrence may be missed in such studies.4–6 In the current study, it was stated that secondary subtrochanteric deformity remodels considerably though not fully. Longer followup periods are warranted.
  2 in total

1.  Subtrochanteric valgus osteotomy in developmental coxa vara.

Authors:  Tamer El-Sobky
Journal:  Indian J Orthop       Date:  2011-07       Impact factor: 1.251

2.  Subtrochanteric valgus osteotomy in developmental coxa vara: A comment.

Authors:  Myung-Sang Moon
Journal:  Indian J Orthop       Date:  2012-03       Impact factor: 1.251

  2 in total

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