Fig. 4

Summary of the surgical steps. a Adductor tenotomy. b Use of a percutaneous K wire under image-intensifier guidance to identify the appropriate osteotomy site. c A joystick wire was inserted in the trochanteric segment to aid manipulation and close the osteotomy site, and the first transfixing wire was directed from a superolateral to an inferomedial direction and engaged the medial cortex. d, e The two transfixing wires in their proper positions securing the osteotomy site in AP and lateral views. f No stripping was performed around the trochanteric area and neck of the femur, which allowed marked soft-tissue preservation. g The wires were bent and the soft-tissue sleeve around the osteotomy site was repaired. h A protective hip spica was applied