XXXX , section after Sugioka.

@entity1 @entity39 @entity158 @entity717 @entity2530
BACKGROUND: Femoral caput @entity39 is an actual therapeutic problem, because it appears mainly in mid-aged @entity1 . The @entity39 focus is most often localized in the proximal and ventral parts of the femoral bone capitulum, which, from the biomechanical point of view is the most loaded part. These cases can be possibly treated by transtrochanteric rotational osteotomy. By means of this operation we rotate the @entity39 focus to the less loaded part of the joint in correlation with the acetabulum. PURPOSE: The aim of this paper is to inform about a rarely performed operation after Sugioka: transtrochanteric rotational osteotomy in coincidence with @entity2530 of the femoral bone caput. We would like to point to the possibility of a joint-saving operation, which enables to postpone implantation of total endoprosthesis to older age. METHODS: We analyzed the operational therapy performed at our department in the period 1998-2000, focusing especially on joint-saving operations due to femoral caput @entity39 . We turned our attention to transtrochanteric rotational osteotomy after Sugioka. In four casuistics, we describe the results of these operations. RESULTS: @entity717 was performed in 12 @entity1 . The treatment is described in four casuistics. The results after 1-3 years are good. The illness has not progressed in any of @entity1 , @entity158 has regressed, mobility improved and it was not necessary to implant total endoprosthesis. CONCLUSION: We consider the transtrochanteric rotational osteootomy, section after Sugioka, as one of the possible treatments in mid-aged @entity1 . Our effort is to perform joint-saving operations in order to postpone the implantation of total endoprosthesis. (Fig. 10, Ref. 13.)
