The accurate measurement of femoral varus angle is important in pre-surgical planning of distal femoral ostectomy. Radiography is normally used to obtain the femoral varus angle, and femoral rotational malpositioning will induce errors in the femoral varus angle measured. Bisection of the fabellae by the femoral cortices is commonly cited as a criterion by which to assess whether a radiographic projection is truly craniocaudal, yet this study has shown this not to be valid.
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