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Under what circumstances should hardware be removed following pediatric distal femoral osteotomy?

Under what circumstances should hardware be removed following pediatric distal femoral osteotomy?
Orthopedics Today, May 2017

Distal femoral extension osteotomies, often times combined with patellar tendon advancement, are often used for the treatment of persistent crouch gait in adolescents and young adults with CP. These osteotomies are typically stabilized with internal fixation devices, such as a blade or locking compression plate to maintain reduction, decrease immobilization and promote early weight-bearing.

While there are no reported outcome studies regarding elective implant removal after extension osteotomy, Stout and colleagues, in their review of 73 patients with CP undergoing surgical treatment for knee flexion contractures, reported that in the 49 patients who underwent distal femoral osteotomy using a 90° blade plate, there were no hardware-related complications and the plates were not removed. Rutz and colleagues showed of 38 patients undergoing 63 distal femoral extension osteotomies, there was one implant-related complication (locking screw loosening 6 weeks postoperatively). They routinely removed the plates in 94% of patients for unspecified reasons.

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Distal femoral osteotomy: Short-term deformity solution needs long-term follow-up

Orthopedics Today, May 2017
Orthopedic surgeons who treat pediatric patients may perform a distal femoral osteotomy when a congenital lower limb deformity is present or to treat several other…

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Under what circumstances should hardware be removed following pediatric distal femoral osteotomy?

Orthopedics Today, May 2017
Distal femoral extension osteotomies, often times combined with patellar tendon advancement, are often used for the treatment of persistent crouch…

Cover Story

Distal femoral osteotomy: Short-term deformity solution needs long-term follow-up

Orthopedics Today, May 2017
Orthopedic surgeons who treat pediatric patients may perform a distal femoral osteotomy when a congenital lower limb deformity is present or to treat…

Orthofix announces launch of new brand for extremity fixation pediatric products

May 14, 2017
Orthofix International N.V. announced it has launched JuniOrtho, a new pediatric brand that focuses on solutions for children and young adults with…

Movers and Shakers

Hassenfeld Children’s Hospital of New York at NYU Langone names new chief of pediatric orthopedic surgery

May 7, 2017
Pablo G. Castañeda, MD, has been named chief of pediatric orthopedic surgery at Hassenfeld Children’s Hospital of New York at NYU Langone…

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The Kappa Delta Sorority and the Orthopaedic Research and Education Foundation presented four awards for innovative research in musculoskeletal…

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