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In extreme cases, the malalignment can be treated by means of a derotational osteotomy which is a major surgical procedure. [3] It can be conducted around the existing intramedullary fixtures, but it usually requires a subtrochanteric osteotomy, which is an invasive surgical approach where bone is cut and realigned.
A femoral derotation osteotomy can be performed to correct version abnormalities such as excessive anteversion or retroversion of the hip joint. Excessive anteversion of the femur results in anterior instability of the hip joint while excessive retroversion results in femoroacetabular hip impingement. [5]
External rotation of the femur with valgus deformity of knee may be noted. This condition does not resolve and requires surgical management. Surgical management includes valgus osteotomy to improve hip biomechanics and length and rotational osteotomy to correct retroversion and lengthening.
Pigeon toe, also known as in-toeing, is a condition which causes the toes to point inward when walking.It is most common in infants and children under two years of age [1] and, when not the result of simple muscle weakness, [2] normally arises from underlying conditions, such as a twisted shin bone or an excessive anteversion (femoral head is more than 15° from the angle of torsion) resulting ...
Rotationplasty is also performed on children with congenital femoral deficiencies. Those deficiencies cause "unstable hip joint[s] and a femur that is 50% shorter than the contralateral, normal femur." [6] This procedure gives rotationplasty patients the ability to have the use of both feet and allows them to continue living an active lifestyle.
In skinny people with the thigh laterally rotated the head of the femur can be felt deep as a resistance profound (deep) for the femoral artery. [1] In the transition area between the head and neck is quite rough due to attachment of muscles and the hip joint capsule. Here the two trochanters, greater and lesser trochanter, is found.
This is what holds the head of the femur securely in the acetabulum. [2] The well-fitting surfaces of the femoral head and acetabulum, which face each other, are lined with a layer of slippery tissue called articular cartilage, which is lubricated by a thin film of synovial fluid. Friction inside a normal hip is less than one-tenth that of ice ...
Proximal femoral focal deficiency (PFFD), also known as Congenital Femoral Deficiency (CFD), [1] is a rare, non-hereditary birth defect that affects the pelvis, particularly the hip bone, and the proximal femur. The disorder may affect one side or both, with the hip being deformed and the leg shortened.