PROXIMAL FEMUR OSTEOTOMY FOR CORRECTION OF POSTTRAUMATIC SEQUELS

Basically four post-traumatic conditions of the proximal femur can be improved by corrective osteotomies: recurring luxations and subluxatio ns of the hip joint; necrosis of the femoral head; non unions; deformi ties. Dependent on the individual situation, the following procedure c an be recommended, including diagnosis of deformities and indication a nd therapy of corrective osteotomies: analysis of the problem from the viewpoint of history, clinical findings and imaging techniques; indic ation for corrective osteotomy; graphic planning; operation technique. Particularities of posttraumatic conditions with regard to diagnosis, indication and surgical technique are indicated. Only with perfectly tailored concepts can we respond to the individual situation of an ind ividual patient and reflect the variety and complexity of post-traumat ic conditions of the proximal femur.