Outcomes of the Greater Trochanter Epiphysiodesis in Treatment of Children with Hip Pathology

Authors

Muhammed Kamel, Department of Orthopedic Surgery& Traumatology, Faculty of Medicine, AL-Azhar University, Assiut, EgyptFollow
Ibrahim Abuomira, Department of Orthopedic Surgery& Traumatology, Faculty of Medicine, AL-Azhar University, Assiut, EgyptFollow
Amer Mostafa, Orthopedic department faculty of medicine alazhar university assiut EgyptFollow

Corresponding Author

Kamel, Muhammed

Document Type

Original Article

Abstract

Background: Many hip diseases in children can affect growth of the greater trochanter (GT), as a result, it is raised in relation to the femoral head. This disturbs normal biomechanics of hip joint and affect hip abductors. This problem is called Relative overgrowth of the greater trochanter (ROGT). Aim: Analysis of the radiological parameters of proximal femur after trochanteric epiphysiodesis. Patient and Methods: Twenty child with unilateral ROGT were included in this prospective study. Epiphysiodesis was done by multiple drill holes and a screw with washer. We analysed the short-term radiological outcomes of 20 individuals after treatment. Results: The surgery can stop growth of GT by about 48.6% (p < 0.05) in comparison with normal side indicating that the greater trochanter tip did not displace in relation to the head of the femur with time. Conclusion: Greater trochanteric epiphysiodesis (GTE) can prevent the progression of moderate femoral head epiphysis growth plate problems and, in some cases, restore the normal shape of proximal femur, avoid the need to more invasive surgery.

Keywords

Greater trochanter epiphysiodesis; hip Pathology; trochanteric-pelvic impingement (TPI)

How to Cite This Article

Kamel, Muhammed; Abuomira, Ibrahim; and Mostafa, Amer (2022) "Outcomes of the Greater Trochanter Epiphysiodesis in Treatment of Children with Hip Pathology," Al-Azhar International Medical Journal: Vol. 3: Iss. 9, Article 6.
DOI: https://doi.org/10.21608/aimj.2022.119777.1827