How to determine the type of femoral osteotomy in the management of developmental dysplasia of the hip: a prospective case series

Conclusions:
Femoral shortening should be performed in cases where tight reduction is achieved to avoid pressure on the femoral head and development of avascular necrosis (AVN). Femoral derotational osteotomy was usually required with femoral shortening because most of the cases had excessive femoral neck anteversion. Evaluation of the CCD angle was done preoperatively and intraoperatively to determine the need for adding varus. If the CCD angle was less than 140 degrees, additional varization was deemed unnecessary.
Level of Evidence:
Level III

Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research