Varus Derotation Osteotomy

  • Ryan M. O’Shea
  • Unni G. NarayananEmail author


The varus derotation osteotomy (VDRO) of the proximal femur is a procedure to redirect the femoral head toward the center of the acetabulum. The varus osteotomy reduces the neck shaft angle, while derotation of the shaft addresses femoral anteversion. This procedure is most frequently utilized in neuromuscular patients with hip displacement. Other indications include the treatment of coxa valga, and for containment of the femoral head in Perthes disease, as an alternative to, or in combination with, an innominate osteotomy. Simultaneous correction in the sagittal plane (flexion-extension) can also be achieved.


Cerebral palsy Hip subluxation Perthes Varus derotation osteotomy (VDRO) Acetabular remodeling 


  1. 1.
    Huh K, Rethlefsen SA, Wren TA, Kay RM. Surgical management of hip subluxation and dislocation in children with cerebral palsy: isolated vdro or combined surgery? J Pediatr Orthop. 2011;31(8):858–63.CrossRefGoogle Scholar
  2. 2.
    Shore BJ, Zurakowski D, Chantal D, Powell D, Matheney TH, Snyder BD. Proximal femoral varus derotation osteotomy in children with cerebral palsy: the effect of age, gross motor function classification system level and surgeon volume on surgical success. J Bone Joint Surg Am. 2015;97(24):2024–32.CrossRefGoogle Scholar

Suggested Reading

  1. Chang FM, Ma J, Pan Z, Ingram JD, Novais EN. Acetabular remodeling after varus derotational osteotomy in children with cerebral palsy. J Pediatr Orthop. 2016;36(2):198–204.CrossRefGoogle Scholar
  2. Reimers J. The stability of hip in children: a radiological study of results of muscle surgery in cerebral palsy. Acta Orthop Scand Suppl. 1980;184:1–100.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryKaiser Permanente San DiegoSan DiegoUSA
  2. 2.The Hospital for Sick ChildrenUniversity of TorontoTorontoCanada

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