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Updated: Jan 31, 2026

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
Knee Disarticulation-Femoral Shortening Osteotomy: A Case Report
Marissa Elyse Dearden1, Colin James Harrington1, Patrick John McGlone1
1Division of Orthopaedics, Department of Surgery, Uniformed Services University, Walter Reed National Military Medical Center, Bethesda, Maryland.
Case:
A 28-year-old active-duty man who had failed limb salvage after open Gustilo 3C knee dislocation underwent knee disarticulation-femoral shortening osteotomy, involving an 8-cm femoral resection osteotomy and stabilization with intramedullary nail. At 16-month follow-up, the patient achieved osseous union at the osteotomy site without need for reoperation, was ambulating using a prosthesis daily, and was running weekly.
Conclusion:
Knee disarticulation with femoral shortening osteotomy preserves the advantages of a knee disarticulation amputation and solves the historical problem of knee length difference with this amputation level.
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