Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.

Pathological femoral anteversion is recognized as a cause of anterior knee pain. Derotational femoral osteotomy is a promising surgical intervention for anterior knee pain patients with excessive femoral anteversion. It is indicated in disabling anterior knee pain recalcitrant to conservative treatm...

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Autores: Sanchis-Alfonso V, Montesinos-Berry E
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p19129
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/19129
Access Level:acceso abierto
Palabra clave:Anterior Knee Pain
Derotational Osteotomy
Femoral anteversion
Femoral maltorsion
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spelling Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.Sanchis-Alfonso VMontesinos-Berry EAnterior Knee PainDerotational OsteotomyFemoral anteversionFemoral maltorsionPathological femoral anteversion is recognized as a cause of anterior knee pain. Derotational femoral osteotomy is a promising surgical intervention for anterior knee pain patients with excessive femoral anteversion. It is indicated in disabling anterior knee pain recalcitrant to conservative treatment with femoral anteversion > 25º measured according to Murphy´s method. However, robust evidence for a universal cutoff is lacking. It is contraindicated in patients with pathological femoral anteversion without clinical symptoms. Moreover, it is contraindicated for cosmetic reasons. This technical note describes our surgical technique of derotational osteotomy to correct pathological femoral anteversion. Femoral anteversion is problematic because it changes the direction of the quadriceps muscle. An intertrochanteric osteotomy allows a longer bone length for the thigh muscles to adjust to a new direction. The distal fragment of the femur is externally rotated until the correction desired in the preoperative planning is achieved. Good clinical outcomes and few complications have been reported with this surgical technique.ELSEVIER2025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/19129Journal of ISAKOS Joint Disorders & Orthopaedic Sports MedicineISSN: 20597754ISSNe: 20597762reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p191292026-06-11T12:45:17Z
dc.title.none.fl_str_mv Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
title Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
spellingShingle Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
Sanchis-Alfonso V
Anterior Knee Pain
Derotational Osteotomy
Femoral anteversion
Femoral maltorsion
title_short Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
title_full Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
title_fullStr Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
title_full_unstemmed Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
title_sort Intertrochanteric Derotational Femoral Osteotomy for Pathological Femoral Anteversion Without Ligamentous Instability. Technical Note.
dc.creator.none.fl_str_mv Sanchis-Alfonso V
Montesinos-Berry E
author Sanchis-Alfonso V
author_facet Sanchis-Alfonso V
Montesinos-Berry E
author_role author
author2 Montesinos-Berry E
author2_role author
dc.subject.none.fl_str_mv Anterior Knee Pain
Derotational Osteotomy
Femoral anteversion
Femoral maltorsion
topic Anterior Knee Pain
Derotational Osteotomy
Femoral anteversion
Femoral maltorsion
description Pathological femoral anteversion is recognized as a cause of anterior knee pain. Derotational femoral osteotomy is a promising surgical intervention for anterior knee pain patients with excessive femoral anteversion. It is indicated in disabling anterior knee pain recalcitrant to conservative treatment with femoral anteversion > 25º measured according to Murphy´s method. However, robust evidence for a universal cutoff is lacking. It is contraindicated in patients with pathological femoral anteversion without clinical symptoms. Moreover, it is contraindicated for cosmetic reasons. This technical note describes our surgical technique of derotational osteotomy to correct pathological femoral anteversion. Femoral anteversion is problematic because it changes the direction of the quadriceps muscle. An intertrochanteric osteotomy allows a longer bone length for the thigh muscles to adjust to a new direction. The distal fragment of the femur is externally rotated until the correction desired in the preoperative planning is achieved. Good clinical outcomes and few complications have been reported with this surgical technique.
publishDate 2025
dc.date.none.fl_str_mv 2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/19129
url https://fisabio.portalinvestigacion.com/publicaciones/19129
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv ELSEVIER
publisher.none.fl_str_mv ELSEVIER
dc.source.none.fl_str_mv Journal of ISAKOS Joint Disorders & Orthopaedic Sports Medicine
ISSN: 20597754
ISSNe: 20597762
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
instname_str Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
reponame_str r-FISABIO. Repositorio Institucional de Producción Científica
collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.81155

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