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Pediatric femoral osteotomy

a review

Kotb, Ahmed, MDa; Abdelgawad, Amr A., MDb; Elghonimy, Mohamed B., MDa; Elsobky, Ihab A., MDc

doi: 10.1097/BCO.0000000000000755
Review Article

The aim of proximal femoral osteotomies in pediatrics is to restore normal anatomy and obtain joint congruency to prevent long-term degenerative hip problems. These osteotomies play an important role in the management of hip dislocations or subluxations due to neurological and other conditions that affect the hip. Femoral derotational osteotomy is an effective treatment in decreasing femoral anteversion. Derotational osteotomy may be indicated in patients with hip pain, gait disturbances, or cosmetic deformity. Distal femoral osteotomies are used for the correction of deformities in all directions of the distal femur: malalignment in the frontal plane, flexion deformities of the knee and rotational abnormalities and various combinations. Our study aimed to review femoral osteotomy techniques in the pediatric population in relation to the different pathological challenges around the hip and knee joints.

aDepartment of Orthopaedic Surgery, Ain Shams University, Cairo, Egypt

bDepartment of Orthopaedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, Texas

cEgyptian Medical Military Academy and Helmia Military Hospital

Financial Disclosure: Dr. Abdelgawad discloses a financial relationship with Springer. The authors report no conflicts of interest in regard to this work.

Correspondence to Ahmed Kotb, MD, Assistant Professor of Orthopaedic Surgery, Ain Shams Univesity, 38 Abbassyia, Cairo, Egypt Tel: +201224208765; fax: NA; e-mail:

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