Distal Femoral Varus Osteotomy for the Management of Valgus Deformity of the Knee

Seth L. Sherman, Samuel F. Thompson, John C.F. Clohisy

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82 Scopus citations

Abstract

Distal femoral varus osteotomy is a well-described treatment option for patients with valgus malalignment associated with a variety of underlying conditions. This procedure may be the definitive treatment option in active patients with isolated lateral compartment osteoarthritis or posttraumatic arthritis. It may be a useful concomitant procedure in young patients with lateral meniscus deficiency, focal chondral defects, chronic medial collateral ligament insufficiency, and/or patellofemoral instability. Distal femoral varus osteotomy can be performed with medial closing wedge or lateral opening wedge techniques. Variable outcomes and complication rates have been reported. A framework for the use of distal femoral varus osteotomy can aid the orthopaedic surgeon in the evaluation and treatment of patients with symptomatic valgus malalignment.

Original languageEnglish
Pages (from-to)313-324
Number of pages12
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume26
Issue number9
DOIs
StatePublished - May 1 2018

Keywords

  • OA
  • distal femoral osteotomy
  • focal chondral defects
  • lateral compartment osteoarthritis
  • lateral meniscus deficiency
  • symptomatic valgus malalignment

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