- See:
Distal Femoral Osteotomy
- Discussion:
- usually involves a medial closing wedge osteotomy of the distal femur
(supracondylar region) fixed with a blade plate;
- femoral osteotomy is sometimes reserved for valgus deformities of
> 12 deg and > 10 deviation of the knee joint from horizontal;
- preoperative ROM of at least 90 deg, and < 15 deg flexion contracture,
and no associated instability are required;
- medial displacement of distal fragment will help maintain
mechanical
axis of limb in center of knee joint by restoring axis of femoral
shaft to its preoperative position;
- plate fixation of the distal femur is usually indicated;
------------------------------------
Correction of valgus knee deformity with a supracondylar V osteotomy.
Proximal tibial varus osteotomy for osteoarthritis of the lateral
compartment of the knee.
