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X-ray of Femoral Osteotomy hardware to correct femoral rotation caused by hip dysplasia. X-ray of the right hip in female patient in early thirties. Two main types of osteotomies are used in the correction of hip dysplasias and deformities to improve alignment/interaction of acetabulum – (socket) – and femoral head – (ball), innominate osteotomies and femoral osteotomies.
Rotationplasty is also performed on children with congenital femoral deficiencies. Those deficiencies cause "unstable hip joint[s] and a femur that is 50% shorter than the contralateral, normal femur." [6] This procedure gives rotationplasty patients the ability to have the use of both feet and allows them to continue living an active lifestyle.
Indication for surgery: HE angle more than 60 degrees, progressive deformity, neck-shaft angle <90 degrees, development of Trendelenburg gait. Surgery: subtrochanteric valgus osteotomy with adequate internal rotation of distal fragment to correct anteversion; common complication is recurrence. If HE angle is reduced to 38 degrees, less evidence ...
Pigeon toe, also known as in-toeing, is a condition which causes the toes to point inward when walking.It is most common in infants and children under two years of age [1] and, when not the result of simple muscle weakness, [2] normally arises from underlying conditions, such as a twisted shin bone or an excessive anteversion (femoral head is more than 15° from the angle of torsion) resulting ...
A varus deformity is an excessive inward angulation (medial angulation, that is, towards the body's midline) of the distal segment of a bone or joint. The opposite of varus is called valgus . The terms varus and valgus always refer to the direction that the distal segment of the joint points.
High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
Arthroplasty is an orthopedic surgery where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. [25] It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis (rheumasurgery) or some other type of trauma. [25]
On projectional radiography, the degree of varus or valgus deformity can be quantified by the hip-knee-ankle angle, [7] which is an angle between the femoral mechanical axis and the center of the ankle joint. [8] It is normally between 1.0° and 1.5° of varus in adults. [9] Normal ranges are different in children. [10]