Procurvatus of the distal femur after femoral elongation

osteotomy treatment extensor and intramedullary nail

Authors

  • Monica Paschoal Nogueira Hospital do Servidor Estadual de São Paulo
  • Elizabeth de Alvarenga Borges da Fonsêca Hospital do Servidor Estadual de São Paulo
  • Alessandro Monterroso Felix Hospital do Servidor Estadual de São Paulo
  • William Martins Ferreira Hospital do Servidor Estadual de São Paulo
  • Juliano Valente Lestingi Hospital do Servidor Estadual de São Paulo
  • Eduardo Angoti Magri Hospital do Servidor Estadual de São Paulo
  • Lourenço Galizia Heitzmann Hospital do Servidor Estadual de São Paulo
  • Ayres Fernando Rodrigues Hospital do Servidor Estadual de São Paulo

Keywords:

congenital femoral deficiency, monolateral external fixator, fêmur procurvatum, extension osteotomy, intramedulary nail

Abstract

Congenital deficiency of the femur is characterized by complex bone and soft tissue changes, and its treatment involves bone reconstruction and limb lengthening. This reported patient had Paley type 1A, without requiring complex joint realignments, and femoral lengthening with a monoplanar external fixator was proposed. Due to intense physical therapy to maintain knee mobility, there was flexion of the regenerate. Correction with extensor osteotomy using a minimally invasive technique, and stabilization with blocked intramedullary nail was proposed.

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Author Biographies

Monica Paschoal Nogueira, Hospital do Servidor Estadual de São Paulo

Chefe do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Elizabeth de Alvarenga Borges da Fonsêca, Hospital do Servidor Estadual de São Paulo

Médico Residente do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Alessandro Monterroso Felix, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

William Martins Ferreira, Hospital do Servidor Estadual de São Paulo

Médico Colaborador do Grupo de Ortopedia Infantil e Reconstrução do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

Eduardo Angoti Magri, Hospital do Servidor Estadual de São Paulo

Médico Assistente do Grupo de Trauma do Serviço de Ortopedia e Traumatologia do HSPE, São Paulo, SP, Brasil

References

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Published

2020-01-13

How to Cite

1.
Nogueira MP, Fonsêca E de AB da, Felix AM, Ferreira WM, Lestingi JV, Magri EA, Heitzmann LG, Rodrigues AF. Procurvatus of the distal femur after femoral elongation: osteotomy treatment extensor and intramedullary nail. RTO [Internet]. 2020 Jan. 13 [cited 2024 Sep. 19];20(1):9-14. Available from: https://rto.emnuvens.com.br/revista/article/view/115

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