Intertrochanteric Versus Supracondylar Osteotomy for Severe Femoral Anteversion

    loading  Checking for direct PDF access through Ovid



Severe femoral anteversion may require operative correction if it results in cosmetic or functional disability. Complication rates ≤l5% have been reported after derotational osteotomy. We report the results of 51 osteotomies in 27 patients with idiopathic femoral anteversion over a 15-year period at a major pediatric orthopaedic referral center. Thirty-four derotational osteotomies in 17 patients were performed using a supracondylar technique with crossed-pin fixation. There was a 14.7% complication rate. Sixteen osteotomies in 10 patients were performed using an intertrochanteric osteotomy and blade-plate fixation with the patient in the prone position; there were no reported complications. The intertrochanteric osteotomy allowed more accurate correction of the intoeing deformity and decreased the need for postoperative immobilization. In addition, the more secure blade-plate fixation benefits the active child >8 years of age who requires operative correction of severe femoral anteversion.

Related Topics

    loading  Loading Related Articles