Results of posterior rotational osteotomy of the femur in children

Abstract

Rotational femoral osteotomies are rarely used in the treatment of hip pathology. Rotational osteotomies allow you to change the spatial position of the head and neck of the femur in three planes; with their help, it is possible to restore normal relationships in the hip joint and congruence of the articular surfaces, and remove the deformed or destroyed sector of the femoral head from stress. Unlike traditional techniques, a technically correctly performed rotational osteotomy does not cause angular deformations of the proximal femur and shortening of the limb. Posterior rotational osteotomy is rightfully considered more reasonable from an anatomical point of view. Because the posterior rotation of the proximal end of the femur is accompanied by unwinding of the capsule and ligaments of the hip joint, which leads to a decrease in intra-articular pressure, which is usually increased in Perthes disease [3,6,7]. Despite this, the literature provides very little coverage of the use of rotational osteotomies in the treatment of Perthes disease .