Correction of Persistant Bilateral Femoral Anteversion A Comparison of Two Different Surgical Procedures: A Case Report
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Abstract
Persistent femoral anteversion, though of very low incidence, will be seen sporadically in practice. The condition must be considered when faced with a patient with intoeing gait. In a normal child, physiologic femoral anteversion should remodel itself by the age of 8-10 years. Surgical correction is only considered when there is limitation of daily activities. There are various acceptable procedures to correct anteversion. This case report details a 6 year old female with persistent bilateral femoral anteversion corrected using two different procedures: a subtrochanteric osteotomy fixed with k-wires on one side, and a diaphyseal osteotomy fixed with plate and screws on the other side. Each produced a different result. Although the cross pin fixation of the osteotomy seemed to be adequate, there was loss of reduction in that side during the post operative period. A better result was noted on the side fixed with plate and screws. However, follow up radiographs showed well remodelled osteotomies bilaterally. Sequential follow up for two years post surgery revealed an excellent outcome in terms of gait and function.
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References
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