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Understanding Femoral Osteotomy and Its Implications
May 1, 2025
Femoral Osteotomy: Anteversion, Retroversion, Surgery
Overview
Femoral osteotomy
: Surgical procedure to correct deformities of the femur and hip joint.
Performed by orthopedic surgeons.
Involves cutting and realigning the bone.
Addresses/prevents issues like cartilage damage, labrum tears, and hip impingement.
Understanding Hip Anatomy
Hip Joint
: Ball and socket joint where femur meets pelvis.
Femur
: Longest bone, supports leg alignment.
Femoral Neck
: Curves forward, connects to pelvis.
Acetabulum
: Socket in the pelvic bone.
Articular Cartilage
: Cushions joint surfaces.
Femoral Version Deformities
Version
: Angle of femoral neck to femur shaft.
Normal: 12-15 degrees forward.
Anteversion
: Neck rotated too far forward.
Leads to in-toeing gait, discomfort, risk of labrum tears, arthritis.
Retroversion
: Neck rotated too far backward.
Leads to out-toeing gait, increased impingement, pain.
Hip Joint Abnormalities
Hip Impingement
: Contact between femoral head and acetabulum.
Types: Cam (femoral neck) and Pincer (acetabulum).
Acetabulum Abnormalities
: Excessive anteversion or retroversion.
Neck-Shaft Angle Abnormalities
:
Coxa Vara
: Decreased angle.
Coxa Valga
: Increased angle.
Occurrence and Diagnosis
More common in women, can be congenital or due to trauma.
Symptoms: Pain, walking difficulties, labral tears, arthritis.
Diagnostic process: Patient history, physical exam, MRI, CT scans.
CT and 3D models for surgical guidance.
Treatment Options
Arthroscopic Procedures
: Minimize invasive techniques to address issues.
Correction of Neck-Shaft Angle
: Via osteotomy and bone fixation.
Minimally Invasive Surgery
: For rotational deformities.
Rehabilitation and Outcomes
Rehabilitation
: Monitored joint motion, weight-bearing, strengthening.
Collaboration
: HSS specialists address complex conditions.
Advancements
: Improved understanding and treatment of hip conditions.
Importance of Early Recognition
: Essential to seek specialist care.
Experts and Related Information
Robert L. Buly, MD
: Chief Emeritus, Hip Preservation Service, Hospital for Special Surgery.
Related Articles
Hip Joint Pain and Preservation: An Overview
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View note source
https://www.hss.edu/conditions_femoral-osteotomy-overview.asp