Femoral inherent torsion is more accurate than femoral anteversion angle in evaluating femoral torsion to determine whether combine derotational distal femoral osteotomy or not

FIT may be a more reliable indicator than FAA for evaluating FT in PD to determine whether combine DDFO or not, especially in the presence of posterior femoral condylar deformity. Posterior femoral condylar deformity appeared to result in a pseudo-increase in FAA. Simultaneous evaluation of FIT and FAA to identify true posterior condylar deformity offers the potential to prevent enlargement of DDFO and enable precision treatment.