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<p>The diagnosis and treatment of pathologies of the proximal femur have experienced a&#xa0;renaissance in recent years due to a&#xa0;better understanding of the interaction of complex combination pathologies, and are part of the standard repertoire of joint-preserving hip surgery. The aim of these procedures is to delay the degeneration of the joint by optimizing the pathological biomechanics, measured by the angles on the proximal femur-caput-collum-diaphyseal angle (CCD angle), antetorsion angle (AT angle), femoral neck length and trochanteric position. There are numerous different osteotomies with various correction potentials and multiple fixation options. The treatment of pathologic femoral torsion now has a&#xa0;major influence in joint-preserving hip surgery and can be performed as a&#xa0;stand-alone procedure; however, in a&#xa0;large number of cases it is performed either in addition to hip arthroscopy or in combination with osteotomies of the acetabulum. Overall, current studies show promising results following femoral osteotomies. In addition to the surgical technique, the simultaneous use of other surgical approaches, the clear identification of the pathology and the assessment of previous degenerative damage to the joint as well as the experience of the surgeon and the treating team are fundamental to the success of the procedure.</p>

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Torsionskorrekturen am proximalen Femur zur Korrektur von Pathologien des Hüftgelenks

  • 期刊论文

  • 发表日期：

    2025年8月1日

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  • Moritz Brunner,
  • Jens Goronzy,
  • Carlos Hofmeister Kahn,
  • Stefan Fickert

摘要

The diagnosis and treatment of pathologies of the proximal femur have experienced a renaissance in recent years due to a better understanding of the interaction of complex combination pathologies, and are part of the standard repertoire of joint-preserving hip surgery. The aim of these procedures is to delay the degeneration of the joint by optimizing the pathological biomechanics, measured by the angles on the proximal femur-caput-collum-diaphyseal angle (CCD angle), antetorsion angle (AT angle), femoral neck length and trochanteric position. There are numerous different osteotomies with various correction potentials and multiple fixation options. The treatment of pathologic femoral torsion now has a major influence in joint-preserving hip surgery and can be performed as a stand-alone procedure; however, in a large number of cases it is performed either in addition to hip arthroscopy or in combination with osteotomies of the acetabulum. Overall, current studies show promising results following femoral osteotomies. In addition to the surgical technique, the simultaneous use of other surgical approaches, the clear identification of the pathology and the assessment of previous degenerative damage to the joint as well as the experience of the surgeon and the treating team are fundamental to the success of the procedure.