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260051

Outcomes of the Greater Trochanter Epiphysiodesis in Treatment of Children with Hip Pathology

Article

Last updated: 03 Jan 2025

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Tags

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Abstract

Background: Many hip diseases in children can affect growth of the greater trochanter (GT), as a result, it is raised in relation to the femoral head. This disturbs normal biomechanics of hip joint and affect hip abductors. This problem is called Relative overgrowth of the greater trochanter (ROGT).
Aim: Analysis of the radiological parameters of proximal femur after trochanteric epiphysiodesis.
Patient and Methods: Twenty child with unilateral ROGT were included in this prospective study. Epiphysiodesis was done by multiple drill holes and a screw with washer. We analysed the short-term radiological outcomes of 20 individuals after treatment.
Results: The surgery can stop growth of GT by about 48.6% (p < 0.05) in comparison with normal side indicating that the greater trochanter tip did not displace in relation to the head of the femur with time.
Conclusion: Greater trochanteric epiphysiodesis (GTE) can prevent the progression of moderate femoral head epiphysis growth plate problems and, in some cases, restore the normal shape of proximal femur, avoid the need to more invasive surgery.

DOI

10.21608/aimj.2022.119777.1827

Keywords

Greater trochanter epiphysiodesis, hip Pathology, trochanteric-pelvic impingement (TPI)

Authors

First Name

Muhammed

Last Name

Kamel

MiddleName

Yasser

Affiliation

Department of Orthopedic Surgery&amp;amp; Traumatology, Faculty of Medicine, AL-Azhar University, Assiut, Egypt

Email

docmuhammed1@gmail.com

City

Cairo

Orcid

-

First Name

Ibrahim

Last Name

Abuomira

MiddleName

Abdellatif

Affiliation

Department of Orthopedic Surgery&amp; Traumatology, Faculty of Medicine, AL-Azhar University, Assiut, Egypt

Email

mahmoudyasserkamel4@gmail.com

City

Assiut

Orcid

-

First Name

Amer

Last Name

Mostafa

MiddleName

Alkot

Affiliation

Orthopedic department faculty of medicine alazhar university assiut Egypt

Email

amerabomosab@yahoo.com

City

Sohag

Orcid

0000000321061489

Volume

3

Article Issue

9

Related Issue

36971

Issue Date

2022-09-01

Receive Date

2022-02-02

Publish Date

2022-09-01

Page Start

28

Page End

31

Print ISSN

2682-3381

Online ISSN

2682-339X

Link

https://aimj.journals.ekb.eg/article_260051.html

Detail API

https://aimj.journals.ekb.eg/service?article_code=260051

Order

6

Type

Original Article

Type Code

710

Publication Type

Journal

Publication Title

Al-Azhar International Medical Journal

Publication Link

https://aimj.journals.ekb.eg/

MainTitle

Outcomes of the Greater Trochanter Epiphysiodesis in Treatment of Children with Hip Pathology

Details

Type

Article

Created At

22 Jan 2023