Long-Term Follow-Up of Distal Femoral Varus Osteotomy of the Knee

Backstein, David; Morag, Guy; Hanna, Samer; Safir, Oleg; Gross, Allan E.

doi:10.1016/j.arth.2007.01.026

Cited by 128 publications

(106 citation statements)

References 9 publications

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“…The method is based on the fact that the normal tibiofemoral angle is 5°-8°o f valgus; therefore, correction of alignment, so that the femur and tibia are anatomically collinear, will result in 5°-8°of mechanical varus and effectively unload the lateral compartment. Good results are reported in the literature about DFO [10], but there is still an open debate overall on the differences in terms of outcome between closing and opening wedge osteotomy [11•, 12•] and whether patellofemoral arthritis can be a potential contraindication to this surgery or the DFO can modify the patellofemoral alignment [13][14][15].…”

Section: Introductionmentioning

confidence: 92%

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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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Section: Introductionmentioning

confidence: 92%

“…[10,21,[33][34][35][36][37]. More recently Kosashvili et al described their results with 33 consecutive DFOs performed with the same technique at a minimum follow-up of 10 years.…”

Section: Medial Closing Wedgementioning

confidence: 98%

Distal femoral osteotomy

Rosso¹,

Margheritini

2014

Curr Rev Musculoskelet Med

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“…The available literature regarding DFO is limited and heterogeneous, but good clinical outcomes have been reported in different studies (8)(9)(10)(11). However, there are still some debated issues, such as the best surgical technique (closing or opening-wedge osteotomy), the type of fixation, the amount of correction to achieve, and the need for a biological graft to fill the osteotomy gap (7).…”

Section: Roberto Rossimentioning

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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“…Several authors have since reproduced excellent results using the technique of Healy et al in appropriately selected patients with unicompartmental disease. 11,13,17,18 With its proven track record, the indications for this procedure have been expanding in recent years. Several authors have advocated performing a DFO in the setting of valgus deformity with associated MCL incompetence 5,6 ; however, there remains a paucity of literature regarding this topic.…”

Section: Varus-producing Osteotomymentioning

confidence: 99%

Varus-Producing Lateral Distal Femoral Opening-Wedge Osteotomy

Mitchell

Dean

Chahla

et al. 2016

Arthroscopy Techniques

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Valgus knee alignment in excess of physiological valgus leads to excessive loading of the lateral compartment, which can potentially increase the risk of osteoarthritis and can place the medial knee structures at risk of chronic attenuation. Varus-producing distal femoral osteotomies have been proposed for correction of valgus malalignment, to relieve tension on medial-sided structures, as well as to off-load the lateral compartment. Understanding that symptomatic valgus deformity of the knee represents a complex problem that is magnified in the setting of lateral compartment arthritis or medial ligamentous incompetence, we present our preferred technique for a varus-producing distal femoral osteotomy using plate osteosynthesis and cancellous bone allograft.

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Long-Term Follow-Up of Distal Femoral Varus Osteotomy of the Knee

Cited by 128 publications

References 9 publications

Distal femoral osteotomy

Distal femoral osteotomy

Femoral osteotomies for the valgus knee

Varus-Producing Lateral Distal Femoral Opening-Wedge Osteotomy

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