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Varus-Producing Lateral Distal Femoral Opening-Wedge Osteotomy.

ABSTRACT: Valgus knee alignment in excess of physiological valgus leads to excessive loading of the lateral compartment, which can potentially increase the risk of osteoarthritis and can place the medial knee structures at risk of chronic attenuation. Varus-producing distal femoral osteotomies have been proposed for correction of valgus malalignment, to relieve tension on medial-sided structures, as well as to off-load the lateral compartment. Understanding that symptomatic valgus deformity of the knee represents a complex problem that is magnified in the setting of lateral compartment arthritis or medial ligamentous incompetence, we present our preferred technique for a varus-producing distal femoral osteotomy using plate osteosynthesis and cancellous bone allograft.

SUBMITTER: Mitchell JJ

PROVIDER: S-EPMC5040188 | biostudies-literature | 2016 Aug

REPOSITORIES: biostudies-literature

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Varus-Producing Lateral Distal Femoral Opening-Wedge Osteotomy.

Mitchell Justin J JJ Dean Chase S CS Chahla Jorge J Moatshe Gilbert G Cram Tyler R TR LaPrade Robert F RF

Arthroscopy techniques 20160801 4

Valgus knee alignment in excess of physiological valgus leads to excessive loading of the lateral compartment, which can potentially increase the risk of osteoarthritis and can place the medial knee structures at risk of chronic attenuation. Varus-producing distal femoral osteotomies have been proposed for correction of valgus malalignment, to relieve tension on medial-sided structures, as well as to off-load the lateral compartment. Understanding that symptomatic valgus deformity of the knee re ...[more]

PMID: 27709040

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