Distal femoral osteotomy

Rosso, Federica; Margheritini, Fabrizio

doi:10.1007/s12178-014-9233-z

Cited by 46 publications

(36 citation statements)

References 56 publications

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“…The young patient with symptomatic unicompartmental arthritis is the ideal candidate for a realignment osteotomy procedure [8,[14][15][16]21]. Although less frequent than isolated medial arthritis due to varus deformities [10], lateral compartment arthritis coupled with valgus malalignment is a challenging problem.…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, most varus-producing high tibial osteotomies (HTO) have led to unsatisfactory results as shown by Shoji and Insall [18]. A distal femoral varus osteotomy (DFVO) is typically utilized in patients with moderate to large valgus deformities [11,[14][15][16] with the Abstract Purpose To investigate the biomechanical properties of the load shifting following opening-wedge distal femoral varus osteotomies (DFVOs) and determine the osteotomy correction needed to unload the lateral compartment. Methods Five human cadaveric knees were tested with a load of 500 N of axial compression.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Distal femoral varus osteotomy for unloading valgus knee malalignment: a biomechanical analysis

Quirno

Campbell

Singh

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Distal femoral varus osteotomy for unloading valgus knee malalignment: a biomechanical analysis

Quirno

Campbell

Singh

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…However, not only the age should be considered but also lifestyle, general health and the desire to stay active. Therefore, the ideal candidate for a DFO is an active patients younger than 65 years old (3).…”

Section: Indications and Contraindicationsmentioning

confidence: 99%

“…Osteotomies around the knee are a well-recognized treatment for symptomatic unicompartmental knee arthritis associated to lower limb malalignment in young and active patients, with the attempt to preserve the native knee joint and delay knee arthroplasty (2,3).…”

Section: Introductionmentioning

confidence: 99%

Femoral osteotomies for the valgus knee

Olivero¹,

Rosso²,

Dettoni³

et al. 2017

Ann. Joint

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Coronal limb malalignment is an important contributing factor to articular cartilage damage and to the development of knee osteoarthritis. Osteotomies around the knee are effective and well-recognized treatments for unloading the affected compartment. Valgus malalignment is less common than varus malalignment. Consequently, distal Femoral Osteotomies to correct the valgus knee are less commonly performed compared to high tibial osteotomy (HTO) for the varus knee. There are few papers describing the outcomes of distal femoral osteotomy (DFO) to treat valgus knee alignment and knee arthritis. In literature, there is still an open debate about the correct indication and contraindication, the best surgical technique (opening versus closing wedge), the amount of correction to achieve and the use of bone grafts to enhance osteotomies healing. However, with the correct indications, Distal Femoral Osteotomies showed good outcomes in the treatment of valgus knee. The aim of this manuscript is to review the literature about DFO in the valgus knee, summarizing the indications and contraindications, the available surgical techniques, outcomes, complications and failure rates.

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“…[13] Some of the disadvantages of this method are the difficulty of the surgical technique, incidence of intra-articular fractures, and scarring around the patellofemoral extensor mechanism. [14] Although there are different treatment methods for the correction of genu varum, detailed assessments before surgery play an important role in the selection of the appropriate treatment and the treatment success. In addition, the treatment outcomes of these patients are also of particular importance.…”

Section: Original Articlementioning

confidence: 99%

Untitled

Narimani

2017

AJP

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Introduction: The proximal tibial osteotomy is an accepted and commonly used treatment for younger and active patients with medial unicompartmental osteoarthritis of the knee and varus deformity. The aim of this study was to assess the treatment outcomes of dome-shaped proximal tibial osteotomy in patients with genu varum. Materials and Methods: In this prospective study, dome-shaped osteotomy was performed in 23 patients (14 males and 9 females) with genu varus deformity that referred to Razi Hospital in Ahvaz in 2016. Patients were followed for 6 months after surgery and were assessed in terms of Modified Hospital for Special Surgery Knee Scoring System (HSSKS), tibiafemoral angle, Insall-Salvati index, and complications. Results: The mean tibiofemoral angle changed from 16.6 ± 5.01 varus to 6.9 ± 1.48 valgus degrees (P < 0.001). The mean modified HSSKS promoted from 73.3 ± 3.01 to 82.3 ± 1.45 (P < 0.001). Furthermore, there was no significant difference in the range of motion and quadriceps strength. Insall-Salvati index was not different significantly after domeshaped osteotomy, and the mean patellar height index changed from 1.054 ± 0.07 to 1.057 ± 0.08 (P = 0.774). The incidence of complication after dome-shaped osteotomy was one case (4.34%) of non-union. Conclusion: Results of this study demonstrated that dome-shaped osteotomy of proximal tibial is a simple, safe, and useful treatment which has favorable results in patients with genu varum.

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Distal femoral osteotomy

Cited by 46 publications

References 56 publications

Distal femoral varus osteotomy for unloading valgus knee malalignment: a biomechanical analysis

Distal femoral varus osteotomy for unloading valgus knee malalignment: a biomechanical analysis

Femoral osteotomies for the valgus knee

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