Supracondylar Osteotomy of the Femur with Use of Compression

Stähelin, Thomas; Hardegger, F; Ward, John-Christopher

doi:10.2106/00004623-200005000-00012

Cited by 65 publications

(65 citation statements)

References 7 publications

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“…At 74 months followup, the Lysholm scores improved from 64 to 77 and the clinical Hospital for Special Surgery knee score improved from 42 to 64. Stahelin et al [16] reported on 21 medial closing-wedge osteotomies in 19 patients with a mean age of 57 years at 2-to 12-year followup. The authors reported 18 of 19 patients were satisfied.…”

Section: Discussionmentioning

confidence: 99%

“…Most studies for osteotomies around the knee report on the use of proximal tibial valgus osteotomy for varus deformities [5,8]. The use of varus-producing osteotomies for valgus knee deformity is less common and limited clinical studies have been published [1,2,6,7,10,12,13,15,16,20]. These studies report the correction of deformity and the pain and function of small cohorts of patients undergoing a medial closing-wedge distal femoral osteotomy for treatment of lateral compartment arthritis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Lateral Opening-wedge Distal Femoral Osteotomy: Pain Relief, Functional Improvement, and Survivorship at 5 Years

Cameron

McCauley

Kermanshahi

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Distal femoral varus osteotomy may be used to treat valgus knee malalignment or to protect a knee compartment in which cartilage restoration surgery (such as osteochondral or meniscus allografting) has been performed. Medial closing-wedge osteotomy has demonstrated good success in treatment of osteoarthritis in published series, but few studies have evaluated distal femoral lateral opening-wedge osteotomy in terms of correction of deformity, pain and function, and survivorship.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lateral Opening-wedge Distal Femoral Osteotomy: Pain Relief, Functional Improvement, and Survivorship at 5 Years

Cameron

McCauley

Kermanshahi

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…The search of the Cochrane library retrieved one potentially relevant review but it was found that the authors had identified no studies reporting DFVO and it was therefore also excluded [13]. A total of 6 studies were therefore included for review [4, 5, 8, 12, 15, 16] (see Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

Distal Femoral Varus Osteotomy for Lateral Compartment Osteoarthritis in the Valgus Knee. A Systematic Review of the Literature

Saithna¹,

Kundra²,

Modi³

et al. 2012

TOORTHJ

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The primary objectives of this systematic review were to define the indications, functional outcomes, survivorship and complications associated with distal femoral varus osteotomy (DFVO).Cumulative survival with arthroplasty as the endpoint ranged from 64 to 82% at 10 years, and 45% at 15 years. The mean pre-operative HSS score ranged from 46 to 65 and this improved at latest follow up to means of between 72 and 88. Pooled results show an overall complication rate of 5.8% (5/86) for unanticipated re-operation due to a complication.Poor reporting of included studies and considerable heterogeneity between them precluded any statistical analysis. Further study is required to determine the precise indications for DFVO, optimum surgical technique, implant of choice and post-operative rehabilitation regimen as all of these factors may significantly affect the complication profile and outcomes of this procedure.DFVO is technically demanding and requires a significant period of rehabilitation for the patient. However, long-term survivorship and good function have been demonstrated and it remains a potential option for valgus osteoarthritis in carefully selected patients.

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“…b The correction angle is planned drawing two lines: one from the center of the hip to 50 % of the tibial plateau and one from the center of the talus to the same point with the lag screws on the entire contact area guaranteed a frictional force that increased the stability of the osteotomy. They reported a mean increase in the HSS score to 84 points, but 1 patient had an implant failure and 3 patients required a longer immobilization period to heal [43]. Table 1 [18••].…”

Section: Medial Closing Wedgementioning

confidence: 99%

Distal femoral osteotomy

Rosso¹,

Margheritini

2014

Curr Rev Musculoskelet Med

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Osteotomies around the knee are well-recognized treatments for unloading the affected compartment in cases of lower limb malalignment. There are few papers in the literature describing the outcomes of distal femoral osteotomy (DFO), as compared with the studies reporting on high tibial osteotomy (HTO), probably because valgus malalignment is less common than the varus one. There is still debate as to what the correct indication is and which surgical techniques lead to the best outcomes in performing a DFO. Besides, it is still controversial whether patellofemoral arthritis should be considered as a contraindication to performing a DFO, as well as in HTO. In this article, we will summarize the indications for DFO, the surgical techniques reported in the literature, and their outcomes.

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Supracondylar Osteotomy of the Femur with Use of Compression

Cited by 65 publications

References 7 publications

Lateral Opening-wedge Distal Femoral Osteotomy: Pain Relief, Functional Improvement, and Survivorship at 5 Years

Lateral Opening-wedge Distal Femoral Osteotomy: Pain Relief, Functional Improvement, and Survivorship at 5 Years

Distal Femoral Varus Osteotomy for Lateral Compartment Osteoarthritis in the Valgus Knee. A Systematic Review of the Literature

Distal femoral osteotomy

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