Distal femoral varus osteotomy for osteoarthritis of the knee. Surgical technique

The Journal of Bone and Joint Surgery. American Volume
Jun-Wen Wang, Chia-Chen Hsu

Abstract

Distal femoral varus osteotomy is a procedure that is performed for the treatment of lateralcompartment osteoarthritis of the knee as well as for correction of the associated valgus deformity. However, its role remains controversial and its efficacy in the treatment of associated patellofemoral arthritis has not been well studied. The purpose of the present study was to evaluate the outcome after distal femoral osteotomy performed for the treatment of painful genu valgum and to assess the influence of patellofemoral arthritis on the results. Thirty patients (thirty knees) were managed with distal femoral varus osteotomy for the treatment of noninflammatory lateralcompartment arthritis of the knee associated with a valgus deformity. Twelve knees had isolated lateral-compartment arthritis, ten had mild-to-moderate degenerative changes in the other two compartments, and eight knees had severe patellofemoral arthritis in addition to lateral-compartment disease. The osteotomy site was fixed with a 90 degrees blade-plate. After a mean duration of follow-up of ninety-nine months, all patients were evaluated with use of the Hospital for Special Surgery knee-rating system and a physical examination. At the time of the most recent follow...Continue Reading

Citations

Dec 7, 2013·Operative Orthopädie und Traumatologie·W Petersen, P Forkel
May 27, 2009·International Orthopaedics·Yona KosashviliDavid Backstein
Mar 23, 2011·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Sridhar Vijayan, George Bentley
Aug 6, 2011·Orthopedics·Tarek A AlyOsama Amin
Dec 13, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lúcio Honório de CarvalhoLincoln Paiva Costa
Mar 29, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp ForkelWolf Petersen
Apr 11, 2015·Strategies in Trauma and Limb Reconstruction·Sherif Ahmed El Ghazaly, El-Hussein Mohamed El-Moatasem

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