Reconstruction of the proximal end of the femur after hematogenous osteomyelitis.

We report a method of surgical treatment of sequela of septic hips and osteomyelitis of the proximal end of the femur in seven children. Roentgenologic and clinical studies before operation showed unstable hip with loss of the femoral neck and head. Reconstruction osteotomy of remnants of the neck and/or head of the femur and a callus distraction procedure in the direction of the acetabulum with the Kalnberz external fixation device was performed. This allowed stabilization of the hip joint, new bone formation in anatomic place of the femoral head, and retention of hip joint function.