Medial Closing Wedge Distal Femoral Osteotomy

Nicholas C Duethman; Christopher D Bernard; Christopher L Camp; Aaron J Krych; Michael J Stuart

doi:10.1016/j.csm.2019.02.005

Medial Closing Wedge Distal Femoral Osteotomy

Clin Sports Med. 2019 Jul;38(3):361-373. doi: 10.1016/j.csm.2019.02.005.

Authors

Nicholas C Duethman¹, Christopher D Bernard¹, Christopher L Camp¹, Aaron J Krych¹, Michael J Stuart²

Affiliations

¹ Department of Orthopedic Surgery, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA; Department of Sports Medicine, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA.
² Department of Orthopedic Surgery, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA; Department of Sports Medicine, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA. Electronic address: [email protected].

PMID: 31079768
DOI: 10.1016/j.csm.2019.02.005

Abstract

The main indication for performing a distal femoral osteotomy is valgus malalignment of the knee joint. The ideal candidates are young and active individuals with isolated lateral compartment arthritis. The goal of the procedure is to create a neutral mechanical axis of the limb to relieve pain and preserve the knee joint. The amount of correction is calculated from a preoperative, high-quality, weight-bearing radiograph from the hip to ankle. This technically challenging operation is a viable option for patients with valgus malalignment because early survivorship is strong and patient-reported outcome scores are significantly improved.

Keywords: Distal medial femoral osteotomy; Genu valgus; Lateral compartment arthritis.

Publication types

Review

MeSH terms

Femur / surgery*
Humans
Knee Joint / diagnostic imaging
Knee Joint / surgery*
Osteotomy / methods*
Preoperative Period
Radiography