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Orthop Clin North Am. 2011 Jul;42(3):373-87, vii. doi: 10.1016/j.ocl.2011.05.002.

Treatment of coxa brevis.

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1
International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USA. sstandard@lifebridgehealth.org

Abstract

Coxa brevis of the hip results in a morphologic change of the proximal femur creating pain and fatigue, leg-length discrepancy, and altered gait. The most common cause is a growth alteration of the proximal femoral physis secondary to ischemic necrosis of the proximal femoral epiphysis. This article describes the Morscher osteotomy-a unique femoral neck-lengthening technique. The outcomes of this successful and predictable technique are resolution of symptoms of fatigue and hip discomfort; the absence of nonunion, infection, or hardware failure; and restoration of normal proximal femoral morphology and biomechanics.

PMID:
21742150
DOI:
10.1016/j.ocl.2011.05.002
[Indexed for MEDLINE]
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