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Femoral Derotational Osteotomies

  • Advances in Patellofemoral Surgery (L Redler, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

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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Papers of particular interest, published recently, have been highlighted as: • Of importance

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Authors and Affiliations

  1. Orthopaedic Specialty Clinic, MVZ Oberstdorf, Teaching Hospital University of Ulm, Trettachstrasse 16, 87561, Oberstdorf, Germany

    Manfred Nelitz

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  1. Manfred Nelitz
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Correspondence to Manfred Nelitz.

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Manfred Nelitz declares that he has no conflict of interest.

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This article does not contain any studies with human or animal subjects performed by any of the authors.

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This article is part of the Topical Collection on Advances in Patellofemoral Surgery

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Nelitz, M. Femoral Derotational Osteotomies. Curr Rev Musculoskelet Med 11, 272–279 (2018). https://doi.org/10.1007/s12178-018-9483-2

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