Medial closed wedge osteotomy of the distal femur in biplanar technique and a specific plate fixator

Operative Orthopädie und Traumatologie
P LobenhofferR J van Heerwaarden

Abstract

Correction of distal femur deformity by closed-wedge biplanar osteotomy. Metaphyseal frontal plane deformities of the femur. Osteoarthritis of the contralateral compartment, total loss of the contralateral meniscus, acute/chronic infection, limited range-of-motion, poor soft-tissue conditions at site of surgery. Skin incision at metaphyseal area of femur. Local exposure of bone. Marking of planned osteotomies. Incomplete posterior osteotomies, complete anterior osteotomy. Wedge removal and closure. Radiological control of alignment. Fixation with specific plate fixator for the medial femur (TomoFix MDF). Submuscular plate fixation. Wound closure. Elastic bandage, suction drain removal and walking with crutches on day 1. Partial weight bearing (15 kg) for the first 4 weeks; X‑ray control on day 3 and 4 weeks after surgery, walking without crutches depending on healing of osteotomy. Thrombosis prophylaxis. From January 2005 to October 2008, 60 patients were treated. Average wedge size 7.6 mm; age 39.7 years; mean follow-up 21 months; 7 revision surgeries: 3 delayed/nonunion of the osteotomy, one superficial infection, one deep infection, one hematoma, and one fracture proximal of the internal plate fixator. Tegner activity score ...Continue Reading

References

Feb 12, 2004·Der Orthopäde·V FrancoG Puddu
Aug 3, 2010·Operative Orthopädie und Traumatologie·Denise FreilingPhilipp Lobenhoffer
Oct 13, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J-M BrinkmanR J van Heerwaarden
Jul 21, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J VisserR J van Heerwaarden

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Citations

Jan 19, 2021·Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology·Hidetomo SaitoNaohisa Miyakoshi
May 6, 2021·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sufian S AhmadMarc D Ahrend
Jun 5, 2021·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Christian KonradsStefan Döbele

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