Pediatric femoral osteotomy: a review

Abstract

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.