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R Barmada

Publications and source records attributed to R Barmada.

27 records · Page 2Linked to original sources

Base of the neck extracapsular osteotomy for correction of deformity in slipped capital femoral epiphysis.

This is a report on a University of Illinois Hospital series of cases of extracapsular base of the neck osteotomy for slipped capital femoral epiphyses. The osteotomy was performed on 20 hips in 16 patients, with a 71/2 year average follow-up. The results of this procedure are encouraging and illustrate the advantages of technical simplicity and minimal risk of avascular necrosis. The method does not create any additional deformity. The only disadvantage is that the correction could be limited. The maximum correction of posterior tilt was 55 degrees and the maximum correction of varus deformity was 50 degrees.

Adolescent↗

Hip fusion utilizing the cobra head plate.

Sixteen consecutive patients underwent hip fusion with fixation by a cobra head compression plate. In six patients on osteotomy of the innominate bone also was done. Four patients had no osteotomy whatsoever, while in six patients medial displacement of the femur was accomplished by centrally dislocating the femoral head through the acetabulum. This modification made the surgical procedure and postoperative care simpler, and rehabilitation was easily accomplished. All of the hips treated in this series had successful bone fusion. All of the patients were out of bed within the first postoperative week, and ambulation with crutches was begun after the second week.

Adult↗

Treatment of moderate to severe slipped capital femoral epiphysis with extracapsular base-of-neck osteotomy.

Extracapsular base of femoral neck osteotomy was performed in 36 hips with moderate to severe slipped capital femoral epiphysis (SCFE). Follow-up ranged from 2 to 24 years (average 9 years). According to modified Southwick's criteria, 90% of the hips had excellent or good result. There were no cases of avascular necrosis (AVN). Prevention of permanent limb-length discrepancy > 15 mm, as occurs in unilateral cases, warrants close follow-up and contralateral epiphysiodesis when necessary. We highly recommend this osteotomy as a safe and effective way to prevent further slippage and improve hip range of motion (ROM) in severe chronic slips.

Adolescent↗