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Intertrochanteric Femoral Osteotomies for Management of Developmental and Posttraumatic Conditions
Although contemporary total hip arthroplasty (THA) provides reliable and enduring results even in young patients, intertrochanteric osteotomy continues to have an important role in the armamentarium of the hip surgeon and is a valuable technique for hip preservation. In many patients, osteotomy is the best solution, especially when the patient does not have arthritis affecting the hip joint. Intertrochanteric osteotomy can be done as a stand-alone procedure or as an adjunct to a pelvic procedure such as a periacetabular or Chiari osteotomy. Intertrochanteric osteotomy offers substantial capacity for restoration of function, equalization of limb lengths, and correction of malrotation, excessive version, posttraumatic deformities, and developmental deformities. The function after an intertrochanteric osteotomy can approach, and even equal, that of a normal hip. Patient satisfaction after properly performed intertrochanteric osteotomies is high.