The Surgical Reconstruction of Severe Varus and Flexion Deformity of the Proximal Femur

Severe varus and flexion deformity of the proximal femur may be secondary to various etiologies but, regardless of the cause, the patient walks with a dramatic Trendelenburg limp. Surgical correction is challenging and requires a complete understanding of all components of the deformity. A utilitarian approach (SuperHip procedure) has been described by Dror Paley and addresses every element of this complex deformity and provides excellent correction in young children. This article illustrates the application of this technique in a case of congenital femoral deficiency.