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Femoral osteotomy was performed first.
In our cases the site of femoral osteotomy varied.
Eighteen patients had been previously treated by femoral osteotomy, so they were excluded.
All distal femoral osteotomy sites were healed at 3 months post-surgery.
Open image in new window Fig. 4 Retrograde femoral nail with distal femoral osteotomy.
A closing-wedge subtrochanteric femoral osteotomy was performed to correct the varus deformity.
Goals of the second distal femoral osteotomy are to lengthen and realign the lower extremity.
When a proximal femoral osteotomy is used, the femoral metaphysis is resected.
Fourteen patients with 27 limbs were treated by ipsilateral outward femoral osteotomy and inward tibial osteotomy.
This is achieved through the proximal femoral osteotomy by placing the involved hip in maximum adduction.
The distal femoral osteotomy is then performed at the planned level.
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