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The patients with greater trochanteric overgrowth and coxa brevis almost invariably have coxa magna and many have frankly aspherical femoral heads; some may have ovoid heads and a few will have spherical femoral heads. this operation is raccomended only for patients who have a spherical or ovoid femoral head since these hips have a lower chance of developing degenerative arthritis prematurely and are the ones that are likely to benefit most from the operation. Attempts are now being made to reshape deformed femoral heads at skeletal maturity by surgical dislocation of the hips with the hope that late degenerative arthritis may be avoided but such long term results are not yet available.