Femoral supracondylar focal dome osteotomy with plate fixation for acute correction of frontal plane knee deformity

Ghazaly, Sherif A. El; Elmoatasem, E M

doi:10.1007/s11751-015-0218-2

Cited by 13 publications

(17 citation statements)

References 12 publications

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“…Functional assessment using the Boston et al score also showed significant improvement, similar to the findings of Gupta et al and those of Agarwal and Shaharyar using the same score [14,17]. In radiological assessment, radiological tibiofemoral angle, MAD, and mLDFA all showed significant improvement, a finding that was in accordance with various other studies [14,16,18,19].…”

Section: Discussionsupporting

confidence: 88%

“…This was due to a significant fall two months after the procedure, which led to plate and screw breakage. Plate and screw breakage was not seen in any other studies [14,15,18,19,[22][23][24]. In our case, this might have been due to the significant trauma and due to lack of contour between the plate and osteotomy site, which might have led to increased tension on the implant-bone construct, thereby making the implant prone to breakage.…”

Section: Discussionmentioning

confidence: 47%

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Outcome of Dome Osteotomy With Plate Osteosynthesis for Genu Valgum in Late Adolescents and Young Adults

Bansal

Mishra

Chadha

et al. 2020

Cureus

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 47%

Outcome of Dome Osteotomy With Plate Osteosynthesis for Genu Valgum in Late Adolescents and Young Adults

Bansal

Mishra

Chadha

et al. 2020

Cureus

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“…Using a Center Of Rotation of Angulation (CORA) at the level of the knee joint is possible to perform a distal femoral focal dome osteotomy achieving deformity correction without leg length variations. Moreover, bone cuts are completely congruent with big contact surfaces allowing increased healing rate (32). Nevertheless, only few reports in literature described the outcomes of femoral dome osteotomies.…”

Section: Others Surgical Techniquesmentioning

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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“…Conservative therapy is not effective in managing this post‐traumatic deformity. To restore the function of joint maximally, surgical correction of the displaced mechanical axis is needed. Different distal femoral osteotomies have been proposed.…”

Section: Introductionmentioning

confidence: 99%

“…Different distal femoral osteotomies have been proposed. However, the shortcomings of different osteotomies have remained obvious and there is no consensus about the most appropriate strategy. Medial open‐wedge distal femoral osteotomy (OW‐DFO) is an anatomically corrective procedure for varus deformity.…”

Section: Introductionmentioning

confidence: 99%

Medial Open‐wedge Osteotomy with Double‐plate Fixation for Varus Malunion of the Distal Femur

Wang

Sun

et al. 2019

Orthopaedic Surgery

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Objective To present our clinical experience of treating varus malunion of the distal femur through a medial open‐wedge osteotomy with double‐plate fixation. Methods A prospective cohort study was performed. From January 2005 to February 2015, 15 consecutive patients with varus malunion following distal femur fractures were surgically treated at a single level I trauma center. The coronal and sagittal deformity were corrected by a medial open‐wedge osteotomy of the distal femur. A medial buttress plate was used to maintain the realignment. A lateral locking plate was additionally used as a protection plate. The mean age of patients at the time of the surgery was 35.5 years (range, 22–58 years). The radiographical evaluation included the mechanical femorotibial angle, the mechanical lateral distal femoral angle, the anatomic posterior distal femoral angle, and the leg length discrepancy. Clinical outcome evaluation consisted of the range of motion (ROM) and Hospital for Special Surgery (HSS) score. Results Mean follow‐up was 7.4 years (range, 4–11.5 years). Varus and flexion malalignment and limb discrepancy were adequately corrected in all patients. The mechanical femorotibial angle, the mechanical lateral distal femoral angle, and the anatomic posterior distal femoral angle were restored from 17.5° (range, 13°–25°) to 2.3° (range, − 2°–7°), 102.3° (range, 95°–112°) to 85.2° (range, 81°–92°), and 77.1° (range, 65°–87°) to 82.7° (range, 76°–88°), respectively. The leg length discrepancy was diminished from 3.4 cm (range, 2.4–4.5 cm) to 0.8 cm (range, 0–1.7 cm). The average bone healing time was 4.1 months (range, 2.5–6 months). The average ROM of the affected knees at 24‐month follow‐up was 3.4°–112.55°. The score of HSS at 4‐years follow‐up was 76.1 (range, 64–88). No internal fixation failure or secondary operation was noted until the last follow‐up. Conclusion Medial open‐wedge osteotomy can adequately correct the posttraumatic varus malunion of the distal femur. With fixation of the double plate, non‐displaced bone healing and good functional outcome are expected.

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Femoral supracondylar focal dome osteotomy with plate fixation for acute correction of frontal plane knee deformity

Cited by 13 publications

References 12 publications

Outcome of Dome Osteotomy With Plate Osteosynthesis for Genu Valgum in Late Adolescents and Young Adults

Outcome of Dome Osteotomy With Plate Osteosynthesis for Genu Valgum in Late Adolescents and Young Adults

Femoral osteotomies for the valgus knee

Medial Open‐wedge Osteotomy with Double‐plate Fixation for Varus Malunion of the Distal Femur

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