SURGICAL-CORRECTION OF IDIOPATHIC MEDIAL FEMORAL TORSION

We reviewed 28 hips in 14 patients with severe bilateral idiopathic me dial femoral torsion which had been corrected by intertrochanteric rot ation osteotomy using crossed pins for fixation and a hip spica. There were 10 girls and 4 boys with a mean age of 7 years and 9 months All had functional and cosmetic disability before operation. The average f ollow up was for 3 years and 9 months. Full correction was achieved in 27 hips. In one partial avascular necrosis of the femoral head occurr ed one year after operation and was treated by an acetabular augmentat ion procedure with a satisfactory outcome.