Eleven patients of Coxa vara et magna following congenital dislocation of the hip joint and Perthes disease etc, were operated in our clinic from January, 1963 to April, 1966. Their chief complaints were pain in the hip joint and limp.
Operation was performed with trochanter-plasty in combination with shelf operation or various types of intertrochanteric osteotomy, including adduction, abduction, detorsion and displacement osteotomy. The combined reconstructive procedures were indicated to improve the changes of acetabulum, femoral head and neck, which were different in each case.
Following operation, shape of the hip joint was improved and pain on walking was relieved markedly, but limp has been improved not so evidently as expected.
The authors think that our operative procedures are encouraging, but the treatment for Coxa vara et magna remains unsolved yet.
