The Journal of the Korean Orthopaedic Association  2018;53(4):301-306

doi:10.4055/jkoa.2018.53.4.301

Surgical Technique for Distal Femur Varization Osteotomy.

Yi Rak SEO 1 ; Kyung Wook NHA ; Sung Sik HA

Affiliations

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Keywords

genu valgum; osteoarthritis; osteotomy; recurrent patella dislocation

Country

Republic of Korea

Language

Korean

Abstract

A closing wedge distal femoral osteotomy is a procedure to reduce pain and delay the progression of degenerative arthritis of knee by moving the weight bearing line from the lateral compartment to the medial side while preserving the knee joint. Age, weight bearing line, and the degree of arthritis are the essential factors to be considered at the time of surgery. The indications for distal femoral osteotomy are as follows. All patients are aged less than 65 years old, normal medial compartment of the knee with normal patello femoral joint, valgus deformity with lateral degenerative arthritis, younger patients with lateral osteochondritis, congenital osteochondrosis, and recurrent patellar dislocation with genu valgum. The distal femoral osteotomy provides the advantages of rapid pain reduction and short rehabilitation in young and active patients and patients who are subjected to heavy loads on the knee.