Derotational osteotomies with blade plates
History of spina bifida and intoeing gait.
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Bilateral blade plates through the proximal femurs and linear subtrochanteric sclerosis from healed fractures are compatible with old derotational osteotomies.
The 10 mm blade plates were bent to 110 degrees.
Derotational osteotomy is a strategy for treating intoeing in pediatric patients with femoral anteversion. The proximal (subtrochanteric) femurs are surgically fractured and then rotated to a more functional angle. The fractures are then fused with fixation hardware, in this case, angled blade plates.