Extract
Since the original description of intertrochanteric femoral osteotomies for
the treatment of nonunion of the femoral neck in the middle part of the last
century, the indications for the procedure have expanded. Femoral neck
nonunion remains a valid indication, as does femoral neck malunion. Other
indications include osteonecrosis of the femoral head,
Legg-Calvé-Perthes disease, limb-length inequality, and slipped capital
femoral epiphysis. Developmental dysplasia of the hip may be an indication;
however, modern advances in the techniques of rotational pelvic osteotomy,
either alone or in combination with a femoral osteotomy, have supplanted the
isolated femoral osteotomy as the procedure of choice for the majority of
patients with that disorder.