الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 77 |  |  |
| | | from | 77 | | |
Abstract
Femoral head reduction osteotomy (FHRO) was developed to treat misshapen femoral head that is causing hip pain. Very few studies used Standardized Outcome Measures (SOMs). This thesis aims to describe the technique of FHRO and report the results of 20 patients using SOMs and compare them to former peer-reviewed studies. Twenty hips in 20 patients with hip pain due to mishshapen femoral were treated with FHRO, with or without triple pelvic osteotomy (TPO). Patients with significant hip joint arthritis and poor hip range of motion and were excluded. The mean patient age was 15.8 (range, 10.2–20). Clinical results were reported using HHS. Radiographical results were reported by comparing Lateral Center Edge Angle (LCEA), extrusion index, Tonnis angle, head size percent, sphericity index, and distance from tip of trochanter to center of femoral head. Only 20% of our patients received TPO. The mean follow up was 2.6 years (range 1.05-3.8). The HHS showed statistical improvement from 61.7 to 83.8 (The median interquartile range 63.5–90.5). Our postop HHS showed ten excellent, five good, one fair and four poor results. All radiographic parameters except the Tonnis angle showed statistically significant improvement. We believe that FHRO with or without pelvic osteotomy is a good salvage procedure for patients presenting with misshapen femoral head with intraarticular hip pain, who still have good preoperative ROM with no signs of hip arthritis.