After three different doctor visits, a lot of time thinking and gathering information, I think a decision has been made (pending a few phone calls).
We are going with a different orthopaedic doctor. She recommends a distal femoral osteotomy, in both legs. If this is the only procedure, Elena won't have to wear casts--just braces that we can remove if needed (bathing, etc.). She may have something done with her patellar tendons; I'm not sure yet. If she does, she'll need to be in casts for 6-8 weeks.
That's the short version, anyway. Her hips are fine (shallow, but fine). The distal (femur end near the knee instead of the hip) osteotomy makes sense to me, given her femoral ante version and how badly her knees are angled toward her center line. If this helps her posture/gait, which is the intent and which the doctor believes it will, less pressure should be on her knees/ankles/big toes, which should help alleviate (or at minimum, not worsen) her issues related to her crouch.
The majority of stories I read related to surgery regret seem to focus on procedures involving the hips. Has anyone had a distal femoral osteotomy (not involving hips) out there? What was your experience? Are you glad you did it? How was recovery?
The procedure, as far as I understand it, is relatively simple and the cut site gets some sort of "cap" on the bone, which is supposed to make the overall process (including recovery) quick. This doctor believes that changing the bony structure is a better way to help crouch gait than lengthening tendons. I'm not sure I believe this, but regardless--I do think that in Elena's case, the osteotomies should yield good results.
I look forward to any and all comments.