The concept of femoral abduction osteotomy for Legg-Calve-Perthes disease was proposed as an alternative to cheilectomy for a deformed head with hinge abduction. Of one hundred and seventy-two patients treated surgically at Seoul National University Hospital from 1966 to 1989, nine hips with hinge abduction underwent femoral abduction osteotomy with or without derotation. Their clinical and radiological results were evaluated. The period of follow-up ranged from 12 to 37 months with an average of 27.4 months. An attempt was also made to delineate its indication. The clinical results were generally satisfactory, and the femoral head remodeled so as to achieve at least aspherical congruency. The neck shaft angle gradually decreased during the follow-up. Lateral head uncovering was the major drawback of this procedure. However, the medial joint space widening, which represented true subluxation, improved postoperatively except in one case. Based on these findings, we believe that abduction osteotomy is an effective alternative for the treatment of Legg-Calv-Perthes disease in those cases, in which the femoral head is grossly deformed and is uncontainable due to hinge abduction and the hip demonstrates a better congruity in adduction position.