What is it about?
Children with arthrogryposis often are born with hip contractures that can prevent them from walking, and often complicate sitting. A relatively straight forward proximal femoral osteotomy was developed to treat the contractures. By reorientating the hip, the likelihood of a child becoming a functional ambulator is significant
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Why is it important?
Children with arthrogryposis often have a good potential for walking, if their limb can be aligned in the most effective position possible. This osteotomy allows for compensation of the congenital hip contractures to make functional and productive walking possible.
Perspectives
I hope that others will find that using this technique is as rewarding to them as it's been to me. Having patients that were labeled as never having a chance to walk, actually become active walkers, and seeing it's effects on families, is an amazing experience.
Dr Harold JP van Bosse
Shriners Hospital for Children
Read the Original
This page is a summary of: Reorientational Proximal Femoral Osteotomies for Correction of Hip Contractures in Children with Arthrogryposis, JBJS Essential Surgical Techniques, April 2017, The Journal of Bone and Joint Surgery, Inc.,
DOI: 10.2106/jbjs.st.16.00086.
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