CafeDoor

RECAP & End :

The osteotomy viewed quickly looks unchanged. The Neck-shaft angle is typically cut parallel to the femoral neck while the knee is held in a true A-P posture (important). By flexing and abducting the proximal part, the femoral head relocates and is nearly impossible to re-dislocate while so held, even before anything else is done. This is what the computer model was screaming – a revised arrangement of the MUSCLE insertions relative to the socket moves the muscular MOVEMENT center to the socket’s skeletal center. Once relocated the damaged rear socket is reshaped around the relocated femoral head with a bit of extra bone (semi-SLOB-like). The rectus femoris is open spread & recessed to cover the cut bone end. The psoas is lengthened (intrapelvic). Any needed extension is had by the pin insertion being in more or less extension as needed.