Osteotomy of the proximal femur with coxarthrosis

Abstract

Osteotomy as a corrective orthopedic intervention was first performed by Barton more than a century and a half ago [22]. A hundred years later, it was still considered as a corrective operation, opposing it to medical operations [8]. Only in 1927, AA Kozlovsky discovered the beneficial effect of epimetaphyseal osteotomies on the course of articular, including dystrophic, processes and, on this basis, referred periarticular osteotomies to the category of therapeutic operations (osteotomia medicata). The mechanism of action of periarticular osteotomies remained unclear, but even then an opinion was expressed about their positive neurotrophic effect [18].

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