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Current Reviews in Musculoskeletal Medicine

Erschienen in:

25.04.2018 | Advances in Patellofemoral Surgery (L Redler, Section Editor)

Femoral Derotational Osteotomies

verfasst von: Manfred Nelitz

Erschienen in: Current Reviews in Musculoskeletal Medicine | Ausgabe 2/2018

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Abstract

Purpose of Review

Femoral derotational osteotomies are performed to correct residual symptomatic increased femoral torsion in adolescents and adults. Typical indications are anterior knee pain caused by patellar maltracking and patellofemoral instability. There is still no consensus as to what the correct indication is and which surgical techniques lead to the best outcomes in performing a femoral derotational osteotomy.

Recent Findings

Good early clinical outcomes have been reported. However, long-term studies and data on return to play are lacking. Surgery often is performed according to the surgeon’s experience. There is no evidence to support decisions regarding surgical technique or level of osteotomy.

Summary

Femoral derotational osteotomy is the treatment of choice in patients with symptomatic excessive anteversion and torsional malalignment of the femur. Multiple techniques have shown good clinical results with high patient satisfaction. Future studies however must focus on radiographic and clinical assessment to understand different subtypes of torsional deformity and its implication on operative therapy.

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Titel: Femoral Derotational Osteotomies
verfasst von: Manfred Nelitz
Publikationsdatum: 25.04.2018
Verlag: Springer US
Erschienen in: Current Reviews in Musculoskeletal Medicine / Ausgabe 2/2018
Elektronische ISSN: 1935-9748
DOI: https://doi.org/10.1007/s12178-018-9483-2

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Femoral Derotational Osteotomies

Abstract

Purpose of Review

Recent Findings

Summary

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