PSEUDARTHROSE DU COL FEMORAL SUR COXA VARA DANS LE CADRE D'UNE OSTEODYSTROPHIE RENALE : GUERISON APRES TRANSPLANTATION RENALE ET OSTEOTOMIE INTER-TROCHANTERIENNE DE VALGISATION
Published online: Feb 27 2000
L. N. JEKELER, 1. 1. ROMBOUTS
Abstract
Femoral neck pseudarthrosis in a case of
renal osteodystrophic coxa vara : healing after kidney
transplantation and subtrochanteric valgus osteotomy.
The authors report the evolution of a femoral neck
pseudarthrosissecondaryto a coxa vara in a childwith
renal osteodystrophydue to polycysticdysplasia.After
kidney transplantation, despite normalisation of the
kidney function, the coxa vara progressedfurther on
the left side whereit was complicatedby spontaneous
fracture of the femoral neck which failed to heal.
Proximal femoral valgus osteotomy, as describedby
Pauwels,healed the nonunion and achieveda general
improvementof the axis of the leftlowerlimb.
Keywords: coxa vara ; renal osteodystrophy;femoral
neckpseudarthrosis; valgusosteotomy.
Mots-cles: coxa vara; osteodystrophierenale; pseudarthrose
du col femoral; osteotomie femorale de
valgisation.