The Journal of Bone and Joint Surgery, Vol 60, Issue 8 1051-1054, Copyright © 1978 by Journal of Bone and Joint Surgery, Inc
Proximal femoral resection-interposition arthroplasty
ME Castle and C Schneider
In the severely retarded, multiply handicapped child who has a dislocated
hip and severe adduction of the lower extremity, the deformity often
interferes with perineal hygiene, nursing care, and positioning in bed and
in a wheelchair. In twelve such patients we did an extensive resection of
the proximal part of the femur, down to below the lesser trochanter, and
constructed a capsular flap across the acetabulum. The quadriceps muscle
was sutured around the resected end of the femur. This one-stage,
uncomplicated operation allowed our patients to sit confortably and nursing
care was made easy. In contrast, three patients who had single resection of
the femoral head and neck had recurrence of deformity and pain.
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