Distal Femoral Osteotomy

Overview

Journal Curr Rev Musculoskelet Med

Date 2014 Aug 22

PMID 25142271

Citations 21

Authors

Federica Rosso

Fabrizio Margheritini

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

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References

Koyonos L, Slenker N, Cohen S . Complications in brief: Osteotomy for lower extremity malalignment. Clin Orthop Relat Res. 2012; 470(12):3630-6. PMC: 3492616. DOI: 10.1007/s11999-012-2392-6. View

Dettoni F, Bonasia D, Castoldi F, Bruzzone M, Blonna D, Rossi R . High tibial osteotomy versus unicompartmental knee arthroplasty for medial compartment arthrosis of the knee: a review of the literature. Iowa Orthop J. 2010; 30:131-40. PMC: 2958284. View

Puddu G, Cipolla M, Cerullo G, Franco V, Gianni E . Which osteotomy for a valgus knee?. Int Orthop. 2009; 34(2):239-47. PMC: 2899363. DOI: 10.1007/s00264-009-0820-3. View

Yoo M, Yoo J, Lee J, Hwang C . Deformity correction by femoral supracondylar dome osteotomy with retrograde intramedullary nailing in varus deformity of the distal femur after pathologic fracture of giant cell tumor. Knee Surg Relat Res. 2013; 25(4):220-4. PMC: 3867616. DOI: 10.5792/ksrr.2013.25.4.220. View

Finkelstein J, Gross A, Davis A . Varus osteotomy of the distal part of the femur. A survivorship analysis. J Bone Joint Surg Am. 1996; 78(9):1348-52. DOI: 10.2106/00004623-199609000-00008. View

Aglietti P, Menchetti P . Distal femoral varus osteotomy in the valgus osteoarthritic knee. Am J Knee Surg. 2001; 13(2):89-95. View

Healy W, Anglen J, Wasilewski S, Krackow K . Distal femoral varus osteotomy. J Bone Joint Surg Am. 1988; 70(1):102-9. View

Hetsroni I, Lyman S, Pearle A, Marx R . The effect of lateral opening wedge distal femoral osteotomy on medial knee opening: clinical and biomechanical factors. Knee Surg Sports Traumatol Arthrosc. 2013; 22(7):1659-65. DOI: 10.1007/s00167-013-2405-3. View

Edgerton B, Mariani E, Morrey B . Distal femoral varus osteotomy for painful genu valgum. A five-to-11-year follow-up study. Clin Orthop Relat Res. 1993; (288):263-9. View

10.

Cameron J, Saha S . Management of medial collateral ligament laxity. Orthop Clin North Am. 1994; 25(3):527-32. View

11.

Forkel P, Achtnich A, Metzlaff S, Zantop T, Petersen W . Midterm results following medial closed wedge distal femoral osteotomy stabilized with a locking internal fixation device. Knee Surg Sports Traumatol Arthrosc. 2014; 23(7):2061-7. DOI: 10.1007/s00167-014-2953-1. View

12.

Rossi R, Bonasia D, Amendola A . The role of high tibial osteotomy in the varus knee. J Am Acad Orthop Surg. 2011; 19(10):590-9. DOI: 10.5435/00124635-201110000-00003. View

13.

Saithna A, Kundra R, Getgood A, Spalding T . Opening wedge distal femoral varus osteotomy for lateral compartment osteoarthritis in the valgus knee. Knee. 2013; 21(1):172-5. DOI: 10.1016/j.knee.2013.08.014. View

14.

Phisitkul P, Wolf B, Amendola A . Role of high tibial and distal femoral osteotomies in the treatment of lateral-posterolateral and medial instabilities of the knee. Sports Med Arthrosc Rev. 2006; 14(2):96-104. DOI: 10.1097/01.jsa.0000212306.47323.83. View

15.

Willey M, Wolf B, Kocaglu B, Amendola A . Complications associated with realignment osteotomy of the knee performed simultaneously with additional reconstructive procedures. Iowa Orthop J. 2010; 30:55-60. PMC: 2958271. View

16.

Purushothaman B, Agarwal A, Dawson M . Posttraumatic chronic patellar dislocation treated by distal femoral osteotomy and medial patellofemoral ligament reconstruction. Orthopedics. 2012; 35(11):e1668-72. DOI: 10.3928/01477447-20121023-30. View

17.

COVENTRY M, Ilstrup D, Wallrichs S . Proximal tibial osteotomy. A critical long-term study of eighty-seven cases. J Bone Joint Surg Am. 1993; 75(2):196-201. DOI: 10.2106/00004623-199302000-00006. View

18.

Learmonth I . A simple technique for varus supracondylar osteotomy in genu valgum. J Bone Joint Surg Br. 1990; 72(2):235-7. DOI: 10.1302/0301-620X.72B2.2312562. View

19.

Jacobi M, Wahl P, Bouaicha S, Jakob R, Gautier E . Distal femoral varus osteotomy: problems associated with the lateral open-wedge technique. Arch Orthop Trauma Surg. 2010; 131(6):725-8. DOI: 10.1007/s00402-010-1193-1. View

20.

COVENTRY M . Osteotomy about the knee for degenerative and rheumatoid arthritis. J Bone Joint Surg Am. 1973; 55(1):23-48. View