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The Journal of Bone and Joint Surgery 82:750 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Letters to The Editor

Proximal Femoral Osteotomy

Nusret Köse, M.D., M. D. Northmore-Ball, M.A., M.B., B.Chir., F.R.C.S., C.I.Mech.E., S. R. D'Souza, M.S., M.Ch.(Orth), F.R.C.S., F.R.C.S.(Orth), S. Sadiq, M.B., B.S., M.D., F.R.C.S. and A. M. R. New, Ph.D., B.Eng., A.R.S.M.

To The Editor:

I read with interest "Proximal Femoral Osteotomy as the Primary Operation for Young Adults Who Have Osteoarthrosis of the Hip" (80-A: 1428-1438, Oct. 1998), by D'Souza et al.

I fully agree that proximal femoral osteotomy is a valuable option for the management of young adults who have osteoarthrosis of the hip. By improving joint congruency and limb alignment and by redistributing forces across the hip, osteotomy can provide long-lasting improvement and offer a biological alternative to total hip replacement in well selected patients. The authors recommended that proximal femoral osteotomy be used routinely in the treatment of young adults with osteoarthrosis of the hip if the results of stress radiography indicate that such a procedure is appropriate. They reported that 60 percent (fifteen) of the twenty-five hips had radiographic improvement postoperatively and approximately half of those had marked improvement. They stated that no additional refinements would have . . . [Full Text of this Article]


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