What is Derotational femoral osteotomy?

The term derotational femoral osteotomy (DFO) refers to a procedure designed to treat severe rotational abnormalities of the femur. The rotational alignment of the femur is called femoral torsion and normally ranges from 10° – 20° of antetorsion, meaning that the femur “looks” to the front of the hip joint.

How long does it take to recover from a femoral osteotomy?

The osteotomy is typically healed in 3-6 months, but the changes in walking may continue for up to a year.

What is varus Derotational osteotomy?

For children who are at risk of a hip dislocation a varus derotation osteotomy (VDRO) is considered. A VDRO is performed by cutting through the upper end of the thigh bone (femur). The VDRO is designed to tip the ball of the femur into the hip socket. We may also correct turning in of the femur at the same time.

What is a Salter osteotomy?

What Is a Salter Pelvic Osteotomy? This is a surgery to help correct a hip socket that is too shallow or has a different shape. A surgeon makes a cut on the outside of the hip and realigns the pelvic bone so that the socket can cover the ball of the hip joint better.

When to have a femoral derotational osteotomy?

Surgery often is performed according to the surgeon’s experience. There is no evidence to support decisions regarding surgical technique or level of osteotomy. Femoral derotational osteotomy is the treatment of choice in patients with symptomatic excessive anteversion and torsional malalignment of the femur.

Can a femoral osteotomy cause damage to the labrum?

These problems may include articular cartilage damage in the hip joint, tears to the labrum (the crescent-shaped cartilage structure that runs along the rim of the hip socket) and various forms of hip impingement – abnormal contact between the two bones that meet in the hip joint.

Do you need a cast after a femoral derotation?

The plates are very strong so a cast is rarely necessary. This procedure is only used in the more severe cases and in the older child. Following a femoral derotational osteotomy your child will initially experience pain and stiffness but this will be well controlled with pain killers and muscle relaxants.

What’s the name of the procedure to fix a femur?

The only surgical treatment currently used is called a “femoral derotational osteotomy.” The femur is cut, rotated in and then fixed it in a more correct anatomical position using metal plates. The plates are very strong so a cast is rarely necessary. This procedure is only used in the more severe cases and in the older child.