Open Proximal Femoral Osteotomy
What is a Proximal Femoral Osteotomy?
Proximal Femoral Osteotomy (PFO) is a surgical procedure which involves correction of the position and alignment of the upper part of the femur, or thigh bone. This includes the femoral neck and head (which is the “ball” in the ball and socket joint of the hip). The goal is to correct structural abnormalities of the upper part of the femur that can contribute to abnormal hip mechanics, impingement, and pain.
Who gets a PFO?
Ideal candidates for a PFO:
- Are adolescents and young adults who have an abnormally shaped proximal femur
- Have symptomatic impingement as a result of femoral deformity
- Have failed to respond to conservative measures
- Do not have arthritis
- Have a healthy weight (BMI <30)
What can I expect with a Proximal Femoral Osteotomy?
- A complete pre-operative workup that will focus on preparing your for your surgery
- 2 hour surgery time
- 2 days in the hospital
- A comprehensive pain management protocol and reduced dependence on pain medication day by day
- 6-8 weeks of limited “Toe Touch” weight bearing with crutches
- Gradual progression of weight-bearing based on follow-up x-rays
- Return to most normal activities by 3 months
- Return to athletics by 6-9 months