<i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b
Background: Congenital femoral deficiency (CFD) is a challenging and complex condition that causes limb lengthening. We focused on the clinical and radiographic results of <i>SUPERhip</i> procedures in patients with congenital femoral deficiency type 1b, according to Paley’s classificati...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Children |
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| Online Access: | https://www.mdpi.com/2227-9067/11/1/75 |
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| author | Francisco Hélio Violante Júnior Fernando Farcetta Júnior Douglas Manuel Carrapeiro Prina Monica Paschoal Nogueira |
| author_facet | Francisco Hélio Violante Júnior Fernando Farcetta Júnior Douglas Manuel Carrapeiro Prina Monica Paschoal Nogueira |
| author_sort | Francisco Hélio Violante Júnior |
| collection | DOAJ |
| description | Background: Congenital femoral deficiency (CFD) is a challenging and complex condition that causes limb lengthening. We focused on the clinical and radiographic results of <i>SUPERhip</i> procedures in patients with congenital femoral deficiency type 1b, according to Paley’s classification, prior to femoral lengthening. Methods: We reviewed all records and radiographs of patients who underwent this procedure between 2005 and 2020. We included 26 patients, with clinical and radiographic assessments performed during pre- and post-operative evaluations. Results: There were twenty-six patients (15 right vs. 11 left), with a mean age of 7 years (1–18). Most of the patients were female (17 patients; 65.4%). Twenty (76.9%) patients were undergoing their first procedure and six (23.1%) had already undergone a previous surgery. There was a significant improvement in all radiographic parameters, with the mean preoperative and postoperative Neck-Shaft Angle (NSA) being 72.3 ± 7.1° vs. 133.1 ± 12.7°, the Center-Edge Angle (CEA) 16.8 ± 9.8° vs. 33.5 ± 14.1°, and the Acetabular Index (AI) 27.8 ± 6.9° vs. 16.4 ± 6.8°, respectively. The complication rate was 15.4%, predominantly affecting patients under 5 years old. Conclusions: The <i>SUPERhip</i> procedure is an effective and reproducible technique for clinical and radiographic correction to a significant degree in patients with Paley’s type 1b CFD, in preparation for bone lengthening surgery. |
| first_indexed | 2024-03-08T11:00:50Z |
| format | Article |
| id | doaj.art-20f68607f2ae4b0aaba5e50c26a6236d |
| institution | Directory Open Access Journal |
| issn | 2227-9067 |
| language | English |
| last_indexed | 2024-03-08T11:00:50Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Children |
| spelling | doaj.art-20f68607f2ae4b0aaba5e50c26a6236d2024-01-26T15:48:20ZengMDPI AGChildren2227-90672024-01-011117510.3390/children11010075<i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1bFrancisco Hélio Violante Júnior0Fernando Farcetta Júnior1Douglas Manuel Carrapeiro Prina2Monica Paschoal Nogueira3IAMSPE–Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo 04029-000, SP, BrazilAssociação de Assistência à Criança Deficiente—AACD, São Paulo 04027-000, SP, BrazilIAMSPE–Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo 04029-000, SP, BrazilIAMSPE–Instituto de Assistência Médica ao Servidor Público Estadual, São Paulo 04029-000, SP, BrazilBackground: Congenital femoral deficiency (CFD) is a challenging and complex condition that causes limb lengthening. We focused on the clinical and radiographic results of <i>SUPERhip</i> procedures in patients with congenital femoral deficiency type 1b, according to Paley’s classification, prior to femoral lengthening. Methods: We reviewed all records and radiographs of patients who underwent this procedure between 2005 and 2020. We included 26 patients, with clinical and radiographic assessments performed during pre- and post-operative evaluations. Results: There were twenty-six patients (15 right vs. 11 left), with a mean age of 7 years (1–18). Most of the patients were female (17 patients; 65.4%). Twenty (76.9%) patients were undergoing their first procedure and six (23.1%) had already undergone a previous surgery. There was a significant improvement in all radiographic parameters, with the mean preoperative and postoperative Neck-Shaft Angle (NSA) being 72.3 ± 7.1° vs. 133.1 ± 12.7°, the Center-Edge Angle (CEA) 16.8 ± 9.8° vs. 33.5 ± 14.1°, and the Acetabular Index (AI) 27.8 ± 6.9° vs. 16.4 ± 6.8°, respectively. The complication rate was 15.4%, predominantly affecting patients under 5 years old. Conclusions: The <i>SUPERhip</i> procedure is an effective and reproducible technique for clinical and radiographic correction to a significant degree in patients with Paley’s type 1b CFD, in preparation for bone lengthening surgery.https://www.mdpi.com/2227-9067/11/1/75hip deformitycoxa varavarus of the proximal femurvalgus osteotomycongenital femoral deficiency |
| spellingShingle | Francisco Hélio Violante Júnior Fernando Farcetta Júnior Douglas Manuel Carrapeiro Prina Monica Paschoal Nogueira <i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b Children hip deformity coxa vara varus of the proximal femur valgus osteotomy congenital femoral deficiency |
| title | <i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b |
| title_full | <i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b |
| title_fullStr | <i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b |
| title_full_unstemmed | <i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b |
| title_short | <i>SUPERhip</i> Reconstruction Treatment in Patients with Congenital Femoral Deficiency of Paley’s Classification Type 1b |
| title_sort | i superhip i reconstruction treatment in patients with congenital femoral deficiency of paley s classification type 1b |
| topic | hip deformity coxa vara varus of the proximal femur valgus osteotomy congenital femoral deficiency |
| url | https://www.mdpi.com/2227-9067/11/1/75 |
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