What would you do ? P. DEL. F. 61 y. 1 m51 52 Kg 1985 1985 1985 Bilateral hip arthritis on CHD Right hip with an abduction osteotomy Painful, stiff in abduction 3 3 3 80 -20 20 0 20 20 Left hip painful and stiff in adduction 3 2 3 45 -30 -10 15 40 -30 Pelvic tilt partially fixed 1985 1985 Lumbar spine arthritic, stiff and painful, partially fixed Right valgus knee but slight anatomical deformation What would you do ?

P. DEL 1988 Because it was forecasted a residual pelvic tilt of 10° right femur when osteotomized was shortened of 2 cm Significant improvement of standing position partial correction of pelvic tilt Valgus knee reduced to 6°, painless 1991

P. DEL 2004 R.H : 18 y PO L.H : 19 y PO Lumbar spine and right knee painless