Lateral Opening Wedge Distal Femoral Osteotomy for Lateral Compartment Arthrosis/Overload

Carola Pilone; Federica Rosso; Umberto Cottino; Roberto Rossi; Davide Edoardo Bonasia

doi:10.1016/j.csm.2019.02.004

Lateral Opening Wedge Distal Femoral Osteotomy for Lateral Compartment Arthrosis/Overload

Clin Sports Med. 2019 Jul;38(3):351-359. doi: 10.1016/j.csm.2019.02.004. Epub 2019 Mar 26.

Authors

Carola Pilone¹, Federica Rosso¹, Umberto Cottino¹, Roberto Rossi¹, Davide Edoardo Bonasia²

Affiliations

¹ Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, Torino 10128, Italy.
² Department of Orthopaedics and Traumatology, AO Ordine Mauriziano Hospital, University of Torino, Largo Turati 62, Torino 10128, Italy. Electronic address: davidebonasia@virgilio.it.

PMID: 31079767
DOI: 10.1016/j.csm.2019.02.004

Abstract

Distal femoral osteotomy (DFO) is a valid option for the treatment of young and active patients with lateral compartment osteoarthritis/overload and valgus malalignment. DFOs can be performed with a closing wedge or opening wedge technique. Lateral opening wedge DFO is usually preferred for smaller corrections, whereas medial closing wedge for larger corrections and in patients with high risk of nonunion. This article describes the relevant aspects regarding lateral opening wedge DFO, including patient selection, preoperative planning, surgical technique, results, and complications.

Keywords: DFO; Knee osteotomy; Lateral compartment arthrosis; Lateral opening wedge DFO; Valgus knee.

Publication types

Review

MeSH terms

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