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Proximal femoral growth disturbance in developmental dysplasia of the hip: what do we know?
Journal article   Open access

Proximal femoral growth disturbance in developmental dysplasia of the hip: what do we know?

S. L Weinstein and L. A Dolan
Journal of children's orthopaedics, Vol.12(4), pp.331-341
08/2018
DOI: 10.1302/1863-2548.12.180070
PMCID: PMC6090195
PMID: 30154923
url
https://doi.org/10.1302/1863-2548.12.180070View
Published (Version of record) Open Access

Abstract

Background Proximal femoral growth disturbance (PFGD) can be the most devastating complication of the treatment of development dysplasia of the hip. The reported incidence ranges from 0% to 73%. The condition involves varying degrees of growth disturbances of the femoral capital epiphysis, the physeal plate or both. Purpose This manuscript will discuss normal growth and development of the hip, the blood supply to the upper end of the femur, pathological and radiographic changes, classifications used to describe PFGD and, most importantly, the potential causes of these growth disturbances and the authors’ strategies for avoiding PFGD.

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