PMC9826564_01
(a) CT scan of pelvis with both hips, mid-coronal section at femur and acetabulum. (b) 3D reconstruction images of the same.
JOCR-12-83-g001.jpg
PMC9826564_01_JOCR-12-83-g001.jpg
F1
Femoral head anteversion was more than 20 degrees and center-edge angle was 17 degrees (Fig. 1,2 ).
PBH X-ray pre-operative and immediate post-operative after salters osteotomy.
JOCR-12-83-g003.jpg
PMC9826564_01_JOCR-12-83-g003.jpg
F3
Triple innominate osteotomy to increase the anterolateral femoral head coverage using the Smith Peterson approach with bikini incision was carried out as a first stage (Fig. 3) and proximal femoral varus derotation osteotomy was done as second stage (Fig. 4).
(a) X-ray PBH at 3 months postoperatively showing partial union at femoral osteotomy site and integration of the bone graft at salters osteotomy site. Adequate head coverage seen (b) X-ray PBH at 2-year postoperatively showing complete union at both the osteotomy sites with no arthritic changes in the femur head or acetabulum.
JOCR-12-83-g005.jpg
PMC9826564_01_JOCR-12-83-g005.jpg
F5
Clinically, there was no limb length discrepancy with improvement in hip abduction and no pain in the hip at 3-year follow-up (Fig. 5, 6).
Follow-up X-ray PBH AP view and femur lateral view at 3-year post-operative showing adequate head coverage with union at both osteotomy site and no degenerative changes in hip joint.
JOCR-12-83-g006.jpg
PMC9826564_01_JOCR-12-83-g006.jpg
F6
Clinically, there was no limb length discrepancy with improvement in hip abduction and no pain in the hip at 3-year follow-up (Fig. 5, 6).