PMID- 32828933
OWN - NLM
STAT- MEDLINE
DCOM- 20210525
LR  - 20210525
IS  - 1526-3231 (Electronic)
IS  - 0749-8063 (Linking)
VI  - 37
IP  - 1
DP  - 2021 Jan
TI  - Femoral Derotation Osteotomy Improves Hip and Spine Function in Patients With 
      Increased or Decreased Femoral Torsion.
PG  - 111-123
LID - S0749-8063(20)30686-1 [pii]
LID - 10.1016/j.arthro.2020.08.008 [doi]
AB  - PURPOSE: To evaluate the outcomes of proximal femoral derotation osteotomy (PFDO) 
      on the hip and spine function of patients with abnormal femoral torsion. METHODS: 
      This retrospective study included patients who underwent PFDO to treat increased 
      or decreased femoral torsion between July 2014 and February 2019. The exclusion 
      criteria were: previous fracture, fixation of slipped capital femoral epiphysis 
      or osteotomy in the ipsilateral femur; PFDO associated to varus or valgus 
      osteotomy; Tonnis grade 2 or 3 osteoarthritis; and PFDO performed to treat knee 
      abnormalities. Hip function was assessed through the modified Harris Hip Score 
      (mHHS). A subgroup of consecutive patients with low back pain before the PFDO and 
      operated after 2017 had the spine function assessed through the Oswestry 
      disability index (ODI). RESULTS: A total of 37 hips (34 patients) were studied: 
      15 hips with increased femoral torsion and 22 with decreased femoral torsion. 
      Eight patients were male and 26 were female. The average age at PFDO was 33 years 
      (range, 15-54 years). At a mean follow-up of 24 months (range, 12-65 months), the 
      mean mHHS improved from 58.1 +/- 14.3 before PFDO to 82 +/- 15.6 at the most recent 
      follow-up (P < .001). Improvement in the mHHS above the minimum clinically 
      important difference (MCID) was observed in 33 hips (89%). In the subgroup of 14 
      consecutive patients with ODI available, the ODI improved from a mean of 45% +/- 
      16% before the PFDO to 22% +/- 17% at the most recent follow-up (P = .001). Nine 
      (64.3%) of the 14 patients presented improvement in the ODI above the MCID. 
      Revision procedure with a larger intramedullary nail was necessary in 2 hips to 
      treat nonunion. CONCLUSION: Proximal femoral derotation osteotomy improves the 
      hip and spine function in patients with increased or decreased femoral torsion 
      and nonarthritic hips. LEVEL OF EVIDENCE: Level IV, therapeutic case series.
CI  - Copyright (c) 2020 Arthroscopy Association of North America. Published by Elsevier 
      Inc. All rights reserved.
FAU - Hatem, Munif
AU  - Hatem M
AD  - Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.. Electronic 
      address: munifhatem@gmail.com.
FAU - Khoury, Anthony Nicholas
AU  - Khoury AN
AD  - Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.
FAU - Erickson, Lane Richard
AU  - Erickson LR
AD  - Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.
FAU - Jones, Alan Leslie
AU  - Jones AL
AD  - Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.
FAU - Martin, Hal David
AU  - Martin HD
AD  - Baylor University Medical Center at Dallas, Dallas, Texas, U.S.A.
LA  - eng
PT  - Journal Article
DEP - 20200821
PL  - United States
TA  - Arthroscopy
JT  - Arthroscopy : the journal of arthroscopic & related surgery : official 
      publication of the Arthroscopy Association of North America and the International 
      Arthroscopy Association
JID - 8506498
SB  - IM
CIN - Arthroscopy. 2021 Jan;37(1):124-127. PMID: 33384075
MH  - Adolescent
MH  - Adult
MH  - Arthroscopy
MH  - Disability Evaluation
MH  - Female
MH  - Femur/physiopathology/*surgery
MH  - Follow-Up Studies
MH  - Hip Joint/*physiopathology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteotomy/*methods
MH  - Range of Motion, Articular/physiology
MH  - Retrospective Studies
MH  - Spine/*physiopathology
MH  - Torsion Abnormality/physiopathology/*surgery
MH  - Young Adult
EDAT- 2020/08/24 06:00
MHDA- 2021/05/26 06:00
CRDT- 2020/08/24 06:00
PHST- 2020/02/03 00:00 [received]
PHST- 2020/08/11 00:00 [revised]
PHST- 2020/08/12 00:00 [accepted]
PHST- 2020/08/24 06:00 [pubmed]
PHST- 2021/05/26 06:00 [medline]
PHST- 2020/08/24 06:00 [entrez]
AID - S0749-8063(20)30686-1 [pii]
AID - 10.1016/j.arthro.2020.08.008 [doi]
PST - ppublish
SO  - Arthroscopy. 2021 Jan;37(1):111-123. doi: 10.1016/j.arthro.2020.08.008. Epub 2020 
      Aug 21.