The Hip: Preservation, Replacement and Revision

Lateral Compartment Disease: Varus Osteotomy



- 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.



Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, April 30, 2012 4:52 pm