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Femoral derotation osteotomy in children with cerebral palsy using the pediatric proximal femoral nail

Sarikaya, İlker A.a; Erdal, Ozan A.a; Şeker, Alib; Görgün, Barişa; İnan, Muharrema

Journal of Pediatric Orthopaedics B: January 2020 - Volume 29 - Issue 1 - p 15–21
doi: 10.1097/BPB.0000000000000639
Cerebral Palsy

We designed a pediatric proximal femoral nail (PPFN) to overcome fixation method-related complications when performing femoral derotation osteotomy in cerebral palsy patients. Preliminary results of cerebral palsy patients who underwent femoral derotation osteotomy fixed using PPFN to treat in-toeing were evaluated. Sixteen patients with a mean age of 10 years were included. Mean follow-up duration was 36 months. There was no significant difference in the follow-up neck-shaft angle and articulotrochanteric distance values (P = 0.2 and 0.3). PPFN provides stable fixation, early weight-bearing, reduces soft-tissue disruption while limiting the complications due to fixation technique.

aOrtopediatri, Pediatric Orthopedic Academy

bDepartment of Orthopaedics and Traumatology, Istanbul University, Cerrahpasa Faculty of Medicine, Istanbul, Turkey

Correspondence to İlker A. Sarikaya, MD, Ortopediatri, Pediatric Orthopedic Academy, Hakki Yeten St Number 10, Fulya, İstanbul 34349, Turkey Tel: + 90 532 732 9740; fax: + 90 212 327 6767; e-mail:

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