The questions raised is whether there is any role for a valgus osteotomy/ hip arthroscopy.
Please comment
My views
1. adduction xray to check whether the joint space is maintained and congruent in adduction to see the result of abduction osteotomy
2.Would A hip scopy would help map the joint cartilage to asses the wt bearing cartilage post osteotomy by assesing the cartilage in adduction as well as a chelectomy as the same time. My hip scopy experience to date is at best average
3. At present with my experience i would wait till pain develops to do a THR COC to get him > 20+ years when needed.
any other comments
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