Perthes-Schede Tenotomy

Perthes–Schede tenotomy is a surgical procedure used to treat femoral neck fractures in children and adolescents. It was developed in the 1950s by German surgeon Georg Karl Perthes and German orthopedist Franz Schede.

The essence of the operation is that an incision is made at the site of the fracture of the femoral neck, and then part of the bone that interferes with the normal growth of the hip is removed through it. After this, a special plate is placed in place of the removed section of bone, which fixes it and allows the femur to develop correctly.

The Perthes–Schede tenotomy operation is one of the most common operations used in pediatric orthopedics. It avoids many complications associated with abnormal development of the hip and ensures normal function of the limb in the future.

However, like any other operation, Perthes–Schede tenotomy has its own risks and complications. Some of these may include infection, nerve or vascular damage, bone malunion, and other problems.

In addition, surgery may be contraindicated for some patients, such as those who have other health problems or are underage.

Overall, Perthes–Schede tenotomy is an effective treatment for femoral neck fractures in children and adolescents and can avoid many of the problems associated with poor hip function in the future. However, before performing the operation, it is necessary to conduct a thorough examination and ensure that it is safe for a particular patient.

In medicine, a surgical operation aimed at the complete or partial destruction of the hyaline, partially ossified or hypertrophied zone of the femoral neck. In other words, this is cutting off the appendix of the ankle (uterus). This treatment method for hip diseases is an alternative to endoprosthetics. The Tenotenoma Perthes operation (complete or partial removal of the protruding part of the fossa in the neck of the femur) is widely used for degenerative lesions of the hip joints, especially in children. This operation is possible only before their ossification begins - at the age of 4-5 years. Until this age, the child’s skeletal system is very plastic and