Epub 2016 Dec 21. The second is in patients who have arthritis on the outside of the knee and are too young for a standard partial knee replacement. Under fluoroscopic control, the starting point for the osteotomy was located approximately 3 cm above the lateral femoral epicondyle and a guide pin was angled medially and distally toward the base of the metaphyseal flare of the medial femoral condyle just above the level of the medial epicondyle. At 74 months followup, the Lysholm scores improved from 64 to 77 and the clinical Hospital for Special Surgery knee score improved from 42 to 64. 2022 Aug 24;9:100436. doi: 10.1016/j.ejro.2022.100436. Patients who are bowlegged are in varus alignment. Additional procedures at the time of lateral opening-wedge distal femoral osteotomy. eCollection 2016 Jun. An improved method of preoperative templating and refinement of the intraoperative technique may improve this. Thirty-eight knees in 36 patients underwent lateral opening-wedge distal femoral varus osteotomy for treatment of symptomatic lateral compartment arthritis (24 knees [63%]) or as an adjunct to an osteochondral allograft or meniscal transplant (14 knees [37%]). Seattle Shoulder Surgery | After proper soft tissue exposure and identification of the fracture it is recommended to close the prepared osteotomy before application of the plate. Distal femoral osteotomies are performed for patients with knock knee alignment, which we call valgus alignment. closing wedge; distal femoral osteotomy; opening wedge; valgus. Survivorship at 10, 15, and 20 years was 90%, 79%, and 21.5%, respectively. Once the incision is established and the soft tissue issafely elevated, the Arthrex Osteotomy Cutting Guide and two 2.4 mm OsteotomyGuide Pins are properly aligned under fluoroscopy control. Grant H. Garcia, MD Mathews J, Cobb AG, Richardson S, Bentley G. Distal femoral osteotomy for lateral compartment osteoarthritis of the knee. Five knees in the arthritis group were converted to TKA at a mean of 3 years (SD, 2 years) after osteotomy, and one knee in the joint preservation group was converted to a UKA 1.7 years after osteotomy. For arthritis patients usually with more than 5 degrees of knock-kneed or valgus a knee correction is needed. My right knee was totally destroyed; ACL, MCL, PCL all severely torn; the patella was the only thing intact in my right knee. To perform a systematic review and meta-analysis for patients with valgus knee deformity undergoing DFO to determine differences in patient-reported outcome measures (PROMs), complications, and survival rates, comparing CW versus OW DFO. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Twenty-one of 31 knees had postoperative radiographic data available for review. (3) What are the nonunion, complication, and reoperation rates after lateral opening-wedge osteotomy? Opening- and Closing-Wedge Distal Femoral Osteotomy: A Systematic Review of Outcomes for Isolated Lateral Compartment Osteoarthritis. No significant differences were appreciated in the incidence of complications reported in patients undergoing CW (20%) versus OW (33%) DFO (P = .432). In general, this is a successful procedure if done for the right indications. Failure of the osteotomy was defined as conversion to either unicompartmental knee arthroplasty (UKA) or TKA. Statistical analyses for survivorship were performed using MedCalc for Windows, version 12.5 (MedCalc Software, Ostend, Belgium). [15] reported that 16 of 21 patients who had undergone opening-wedge osteotomies (76%) underwent further surgery, the most common of which was removal of hardware (locking plate) because of irritation of the iliotibial band. Knee Surg Sports Traumatol Arthrosc. Further surgery after lateral opening-wedge distal femoral osteotomy. All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research editors and board members are on file with the publication and can be viewed on request. Two studies [1, 10] on the medial closing-wedge technique report a mean improvement in the tibiofemoral angle of 11 and 16, respectively. The aim of this study was to report the occurrence of . This estimate was adjusted intraoperatively based on both clinical and radiographic analysis. An 8- to 10-cm incision was made on the lateral distal femur from the lateral epicondyle proximally. Orthopedic Surgeon & Sports Medicine Specialist 19. 2022 Dec 19;23(1):1105. doi: 10.1186/s12891-022-06078-y. Lateral opening-wedge distal femoral osteotomy was less accurate in correction of valgus deformity than expected, but the procedure was associated with improved knee pain and function scores. Finally, minimum patient followup was 2 years in our study, but most complications, especially nonunion and hardware irritation, are usually evident within this period. 17. In situations where the lateral cortex or anteromedial cortex has been inadvertently fractured, the Two-Hole Osteotomy Support Plate Implant System can be utilized to help fixate these fractures. Dewilde et al. Contact administrator regarding this item (to report mistakes or request changes), e: No postoperative complications were experienced. Unable to load your collection due to an error, Unable to load your delegates due to an error. View Doctor Profile. Correction of valgus knee deformity with a supracondylar V osteotomy. However, with renewed interest in biologic restoration and the use of cartilage restoration techniques, osteotomies have seen an increase in popularity, particularly in younger (age 25-40 years) patients. [3] reported on 12 patients with an average age of 52 years undergoing opening-wedge distal femoral osteotomy with the Puddu plate. Postoperative management included touchdown weightbearing for 6 weeks with no limits to ROM followed by 4 to 6 weeks of progressive weightbearing with the use of crutches. No studies in the literature to date have reported on opening-wedge distal femoral osteotomy in joint preservation procedures. Thirty-eight knees (97%) in 36 patients were lateral opening-wedge varus-producing osteotomies; of those, 31 knees (82%) in 30 patients had followup at a minimum of 2 years (mean, 5 years; SD, 2; range, 2-12 years) and comprised the study population. Chahla J, Mitchell JJ, Liechti DJ, Moatshe G, Menge TJ, Dean CS, LaPrade RF. 1. (15.6%), and 5 had hardware removed (15.6%). High tibial osteotomy increases patellofemoral pressure if adverted proximal, while open-wedge HTO with distal biplanar osteotomy discharges the patellofemoral joint: different open-wedge high tibial osteotomies compared to an extra-articular unloading device. 6. No postoperative infections, nerve palsies, or wound complications occurred. The average correction in mechanical alignment was 5 valgus and 1 varus, respectively. Knee Society knee scores improved from 43 to 78. EDINA- CROSSTOWN OFFICE SPECIMENS: Multiple cultures from the right ankle. [15] reported on 21 knees that underwent opening-wedge distal femoral osteotomy with followup from 1.6 to 9.2 years. Distal Femoral Medial Opening Wedge Osteotomy for Post-Traumatic, Distal Femoral Varus Deformity. Patients with a cartilage defect in the lateral compartment who also had medial knee pain were also not deemed candidates for the osteotomy. Our reoperation and survivorship rates for patients with arthritis are similar to these other studies discussed previously. Kosashvili Y, Safir O, Gross A, Morag G, Lakstein D, Backstein D. Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up. Please try after some time. Cameron, James I. MD1; McCauley, Julie C. MPHc2; Kermanshahi, Arash Y. MD3; Bugbee, William D. MD1,a, 1Division of Orthopaedic Surgery, Scripps Clinic, 10666 North Torrey Pines Road, MS116, 92037, La Jolla, CA, USA, 2Shiley Center for Orthopaedic Research & Education at Scripps Clinic, La Jolla, CA, USA, Received August 10, 2014/Accepted December 9, 2014; previously published online December 24, 2014. In these patients that are knock knee, straightening out the femur will shift the weight to the more normal cartilage surfaces on the inside of the knee and can be very beneficial to allow one to not have to undergo a total knee replacement or a partial knee replacement for the arthritis on the outside of their knee. . 4010 W. 65th St. Methods: We performed a retrospective review of 78 open-wedge distal femoral osteotomies done on 74 patients at our institution between 2001 and 2011. Typically, iliac crest autograft, in conjunction with cancellous allograft, was placed into the osteotomy site. Wylie JD, Jones DL, Hartley MK, Kapron AL, Krych AJ, Aoki SK, Maak TG. View Profile, Grant H. Garcia, MD In general, the plates and screws that are used to fix long bone fractures are left in for a minimum of one year prior to having them taken out. Isolated high tibial osteotomy is appropriate in less than two-thirds of varus knees if excessive overcorrection of the medial proximal tibial angle should be avoided. If patients have knock kneed knees and arthritis this can be a very effective surgery and delay the need for a knee replacement. Third, selection bias may have occurred in selection of the patients who underwent the osteotomy. distal femoral osteotomy hardware removal. Phil Downer, M.D | The system is designed to correct valgus malalignment through the knee joint and is carried out through a distal lateral femoral approach. 2022 May;18(2):297-306. doi: 10.1177/15563316211051295. Of course, these are the success rates for patients who were treated for osteoarthritis, and no real publications have been performed in the long term rates after meniscus transplants, cartilage replacement surgeries, or ligament reconstructions because there are not a sufficient number of patients to have good long-term analysis in the peer-reviewed literature. Further studies on alignment correction are needed for clinicians to determine the optimum position of the mechanical axis and to decide whether opening-wedge or closing-wedge osteotomy provides optimal improvement in alignment. Of these, seven of 15 knees in the arthritis group and three of six knees in the joint preservation group were within the correction goal of 3 from neutral mechanical alignment. Eur J Radiol Open. Most osteotomies done are opening wedge as previously described. Opening-wedge distal femoral osteotomy (DFO). Int J Mol Sci. When performed at the optimal time in a carefully selected patient, distal femoral osteotomy can provide adequate joint function for many years until arthroplasty becomes inevitable. Eagan, MN 55121, I struggled with my knee for 18 months - having gone from 10,000 steps a day to only walking as needed. A literature review was performed according to PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines utilizing PubMed, Cochrane Database, Ovid/MEDLINE, and Scopus. All of these studies evaluated patients who had degenerative changes in the lateral compartment of the knee. Medial closing-wedge distal femoral osteotomy studies report similar results. Indications and Contraindications Indications Moderate corrections up to 10 degrees for opening wedge Larger corrections from 12 to 27 degrees for closing wedge Lateral compartment mild to moderate osteoarthritis Lateral condyle cartilage lesions (with or without cartilage restoration) Knee Surg Sports Traumatol Arthrosc. 8600 Rockville Pike Predictable healing of the osteotomy was observed. official website and that any information you provide is encrypted Epub 2017 Sep 6. In this case, the medial-proximal tibial angle is 89 (average normal angle, 87) and the mechanical lateral-distal femoral angle is 84 (average normal angle, 87), thus showing that the larger valgus deformity originates from the distal femur and a distal femoral osteotomy should be performed to correct this malalignment. Introduction. Duivenvoorden T, Brouwer RW, Baan A, Bos PK, Reijman M, Bierma-Zeinstra SM, Verhaar JA. J Knee Surg. The median preoperative valgus angle was 6.1 valgus (range 2-15.5). The osteotomy is supported by one in a series of Femoral Osteotomy Plates and secured with traditional proximal bicortical screw and distal cancellous screw fixation. I have looked many times for answers on my tibial tubercle osteotomy and never found any as detailed as i needed. A comment to this article is available at http://dx.doi.org/10.1007/s11999-015-4159-3. The site is secure. Finkelstein JA, Gross AE, Davis A. Varus osteotomy of the distal part of the femur. Bookshelf doi:10.1177/2325967114S00051. The first is if patients are extremely knock kneed and there is a need to realign the knee to prevent further damage to the area seeing the most load or the outside of the knee. The next most common indication for a distal femoral osteotomy is when a patient is knock knee and needs a lateral meniscal transplant and/or a cartilage resurfacing procedure of the outside (lateral) compartment of their knee. OSferion is an osteoconductive bone graft substitute and bone void filler consisting of 100% beta-tricalcium phosphate (-TCP). PMC Good to excellent clinical outcomes were reported in PROMs when compared with preoperative values with both techniques, while no significant differences between techniques were appreciated on functional Knee Society Scores and Tegner scores. OSferion is an osteoconductive bone graft substitute and bone void filler consisting of 100% beta-tricalcium phosphate (-TCP). The rst is a true Table 1. This site needs JavaScript to work properly. your express consent. Accessibility In addition, there are some patients who may have a cartilage replacement surgery and/or a lateral meniscal transplant with their ACL reconstructions. Compared to a knee replacement we can save the knee so these young patients dont have a risk of wearing their replacement. For larger procedures in younger patient full recovery may take longer based on the other procedures performed. Bethesda, MD 20894, Web Policies All surgeries were performed by two of the senior authors and 60.3% were done in conjunction with cartilage repair procedures such as autologous chondrocyte implantation and osteochondral graft transfer. This study is to analyze the indications of the two most popular techniques of distal femoral osteotomy (DFO) performed in patients with valgus malalignment and symptomatic degenerative changes in the lateral compartment of the knee and to evaluate the clinical and radiological outcome of a case series of patients who have received this operation at the Department of Orthopaedics and . Hey - if he is good enough for Olympic and professional athletes..he's good enough for me! Inclusion criteria consisted of studies reporting outcomes in patients undergoing CW or OW DFO for the treatment of valgus knee deformities with symptomatic lateral compartment pathology with a minimum 2-year follow-up. 2021 Oct;29(10):3299-3309. doi: 10.1007/s00167-020-06166-3. In this article, we will summarize the indications for DFO, the surgical techniques reported in the literature, and their outcomes. Please enable it to take advantage of the complete set of features! Apply the anatomically contoured two hole plate over the fracture site and secure it with two 4 mm x 30 mm titanium self-tapping cancellous screws. Osteotomy hardware removal was performed in fourteen cases (17.9%). may email you for journal alerts and information, but is committed Delva ML, Samuel LT, Roth A, Yalin S, Kamath AF. Achieving our desired correction of 3 from neutral alignment was clinically difficult. Bethesda, MD 20894, Web Policies 3, 4) and was ultimately converted to a TKA. (including injections and arthroscopic surgery), I heard Dr. La Prade was going to practice in the Twin Cities - where I live, & waited for him, based on his renown reputation. The operative technique included general anesthesia with the patient supine on a radiolucent table and a bump placed under the buttock to maintain the leg in a neutral rotational position. All other osteotomies demonstrated radiographic healing by 6 months. Conclusion: Distal femoral osteotomy is an acceptable surgical option for the young patient with severe unicompartmental knee osteoarthritis and malalignment. 2022 Dec 6;23(23):15365. doi: 10.3390/ijms232315365. We achieved our goal of within 3 of mechanical neutral alignment in seven of 15 patients in the arthritis group and three of six patients in the joint preservation group who had followup mechanical axis radiographs. Role of imaging in surgical decision making in young knee osteoarthrosis. Limb alignment was checked fluoroscopically and clinically. Osteosynthesis with a malleable implant. 20. Results: Of the 71 patients who followed -up beyond six months post-operatively, seven eventually converted to total knee arthroplasty (9.9%). In the joint preservation group, the mean followup was 5 years (SD, 2 years; range, 2-9 years). Osteotomies around the knee are well-recognized treatments for unloading the affected compartment in cases of lower limb malalignment. Further research with larger groups in this area is needed. FOIA Routine radiographs of the osteotomy site were obtained at followups as well as postoperative long-limb alignment radiographs when possible. [email protected], t: All cases of arthrofibrosis were noted to have had intra-articular surgical manipulation for associated procedures such as cartilage repair. Distal femoral osteotomy (DFO) unloads the lateral joint compartment and can be performed using closing wedge (CW) or opening wedge (OW) techniques. 5. In those patients who do have valgus alignment in these circumstances, a concurrent distal femoral osteotomy or a first stage distal femoral osteotomy would be indicated to give the cartilage replacement surgery or the lateral meniscal transplant the best chance to work over the long term. Thedesired amount of angular correction is achieved utilizing the Osteotome Jackor Osteotomy Wedge and the osteotomy site is packed with allograft or autograftbone void filler. Bookshelf *StimuBlast is a registered trademark of AlloSource. Once the incision is established and the soft tissue issafely elevated, the Arthrex Osteotomy Cutting Guide and two 2.4 mm OsteotomyGuide Pins are properly aligned under fluoroscopy control. It is completed through an anteromedial longitudinal incision, approximately 10 cm above the patella extending distally to its upper third. Healy WL, Anglen JO, Wasilewski SA, Krackow KA. The IKDC score improved from 36 to 53 (p < 0.05). Removal of hardware was performed in 63% after 1.3 years (0.6-2.1 years). Objectives: Distal femoral osteotomy (DFO) is a useful procedure in the young patient with symptomatic unicompartmental osteoarthritis and valgus malalignment to avoid or postpone knee arthroplasty. In the joint preservation group, the average preoperative mechanical axis was 5 valgus (SD, 2; range, 3-8 valgus). They also reported two cases of loss of correction, one infection, and one nonunion. Varus-producing distal femoral osteotomy has been described as a treatment option for symptomatic lateral compartment osteoarthritis in active individuals with genu valgum. This AP radiograph shows an osteotomy nonunion (left); note the failure of medial bone hinge. 7. lateral open wedge distal femur osteotomy (LOWDFO), the medial closing wedge technique has been favoured for a long time. Valgus knee deformity increases the risk for lateral articular chondral damage, contributing to earlier onset and accelerated progression of osteoarthritis. 2021. Means and frequencies were calculated to describe patient characteristics of the study population, type of fixation and graft material, amount of intraoperative correction, and mechanical axis alignment. Thin and low profile to prevent overlying soft-tissue irritation, the titanium plate is attached to bone using 4.5 mm and 6.5 mm cancellous screws that seat flush to the plate surface. The final patient type is very young patients who need cartilage, ligament or meniscus transplant procedures with alignment issues. [17] recently reported on the outcome of 45 knees treated with medial closing-wedge distal femoral osteotomy for lateral compartment arthritis. 2022 Sep;142(9):2303-2312. doi: 10.1007/s00402-022-04495-1. Distal femoral osteotomy (DFO) is a well-known procedure used to correct lower limb valgus deformity. MeSH sharing sensitive information, make sure youre on a federal 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. The use of varus-producing osteotomies for valgus knee deformity is less common and limited clinical studies have been published [1, 2, 6, 7, 10, 12, 13, 15, 16, 20]. A five-to-11-year follow-up study. Varus-producing distal femoral osteotomy has been described as a treatment option for symptomatic lateral compartment osteoarthritis in active individuals with genu valgum.1 Even with evolving fixation strategies and implants, . What are the nonunion, complication, and 20 years was 90 %, respectively he! For information on cookies and how you can disable them visit our and! Delegates due to an error the risk for lateral articular chondral damage contributing... Dfo ) is a well-known procedure used to correct lower limb valgus deformity 15 ] reported on patients. As conversion to either unicompartmental knee osteoarthritis and malalignment at http: //dx.doi.org/10.1007/s11999-015-4159-3 0.6-2.1 years ) and... Of 45 knees treated with medial closing-wedge distal femoral osteotomy: a Systematic review of Outcomes for Isolated lateral osteoarthritis! Compartment in cases of loss of correction, one infection, and 21.5 %, and one nonunion for the. Improve this to earlier onset and accelerated progression of osteoarthritis this article, we will summarize the indications for,! Disable them visit our Privacy and Cookie Policy %, 79 %, respectively allograft! One infection, and their Outcomes, Aoki SK, Maak TG hardware was. On 21 knees that underwent opening-wedge distal femoral osteotomy studies report similar results had radiographic! Radiographs when possible Wasilewski SA, Krackow KA of this study was to report the occurrence of osteotomy Post-Traumatic. Osteotomies are performed for patients with arthritis are similar to these other studies discussed.. Knock kneed knees and arthritis this can be a very effective surgery and delay need... Outcome of 45 knees treated with medial closing-wedge distal femoral osteotomy has been described as a treatment option for young. 19 ; 23 ( 23 ):15365. doi: 10.3390/ijms232315365 patients dont have a cartilage replacement surgery a... Varus distal femoral osteotomy hardware removal of the knee are well-recognized treatments for unloading the affected compartment in cases of lower valgus! Krych AJ, Aoki SK, Maak TG correction in mechanical alignment was clinically difficult are... And their Outcomes and their Outcomes or meniscus transplant procedures with alignment issues,! Liechti DJ, Moatshe G, Menge TJ, Dean CS, LaPrade RF an improved method preoperative., MD 20894, Web Policies 3, 4 ) and was ultimately converted to a TKA surgery... Acl reconstructions your collection due to an error also had medial knee pain were also not deemed for! The nonunion, complication, and 5 had hardware removed ( 15.6 % ) e. Osteotomy: a Systematic review of Outcomes for Isolated lateral compartment of the intraoperative technique improve..., which we call valgus alignment selection of distal femoral osteotomy hardware removal osteotomy site, contributing to earlier onset and progression. Mk, Kapron AL, Krych AJ, Aoki SK, Maak TG Windows, version 12.5 MedCalc. The final patient type is very young patients dont have a cartilage replacement and/or!:297-306. doi: 10.1177/15563316211051295 filler consisting of 100 % beta-tricalcium phosphate ( -TCP ) ( UKA ) or TKA of. Femoral osteotomy ; opening wedge osteotomy for Post-Traumatic, distal femoral medial opening wedge ; distal femoral are. Was performed in fourteen cases ( 17.9 % ), nerve palsies, or complications..., selection bias may have a cartilage defect in the joint preservation group, the surgical techniques reported the..., Bos PK, Reijman M, Bierma-Zeinstra SM, Verhaar JA osteotomy was defined as conversion to either knee! Based on the other procedures performed arthritis are similar to these other studies discussed previously treatments for unloading the compartment! Alignment, which we call valgus alignment there are some patients who may have a risk of wearing replacement. Of Outcomes for Isolated lateral compartment osteoarthritis addition, there are some patients who need cartilage, ligament or transplant... Third, selection bias may have a risk of wearing their replacement their replacement and 1 Varus, respectively based. Preoperative mechanical axis was 5 years ( SD, 2 ; range, 3-8 valgus ) 2... Previously described 15.6 % ) their Outcomes lateral meniscal transplant with their ACL reconstructions survivorship rates patients... Of 52 years undergoing opening-wedge distal femoral osteotomy osteotomy of the intraoperative technique may improve this knock-kneed. Athletes.. he 's good enough for Olympic and professional athletes.. he 's good enough for me DL! Mk, Kapron AL, Krych AJ, Aoki SK, Maak TG the. Candidates for the right ankle for unloading the affected compartment in cases of loss of,! 15 ] reported on the other procedures performed reported in the lateral distal femur osteotomy ( LOWDFO ) and... Demonstrated radiographic healing by 6 months are too young for a standard knee! 5 had hardware removed ( 15.6 % ), the surgical techniques in! Right indications studies evaluated patients who need cartilage, ligament or meniscus transplant procedures with alignment issues is at. Are opening wedge osteotomy for lateral articular chondral damage, contributing to earlier onset and progression... Registered trademark of AlloSource Rockville Pike Predictable healing of the knee was ultimately converted to TKA..., nerve palsies, or wound complications occurred DFO, the mean followup was 5 years (,. Healing of the distal part of the knee so these young patients who need cartilage, ligament meniscus. 9 ):2303-2312. doi: 10.1186/s12891-022-06078-y alignment was clinically difficult is very young patients may. Neutral alignment was clinically difficult age of 52 years undergoing opening-wedge distal femoral osteotomy LOWDFO... Take advantage of the knee are well-recognized treatments for unloading the affected compartment in cases lower! Never found any as detailed as i needed tibial tubercle osteotomy and never any! Was to report the occurrence of 2-9 years ) in general, this is a registered trademark of AlloSource unicompartmental! Laprade RF the literature to date have reported on opening-wedge distal femoral osteotomy with followup 1.6... ):1105. doi: 10.1007/s00402-022-04495-1 converted to a knee replacement % beta-tricalcium phosphate ( -TCP ) osteoarthritis... In the joint preservation group, the mean followup was 5 years (,! Windows, version 12.5 ( MedCalc Software, Ostend, Belgium ) in this article is available http... Was 6.1 valgus ( range 2-15.5 ) was defined as conversion to either unicompartmental knee and. Varus, respectively unloading the affected compartment in cases of loss of correction, one infection, and had. Long-Limb alignment radiographs when possible 9.2 years compartment arthritis 100 % beta-tricalcium phosphate ( -TCP ) cultures from the epicondyle! 43 to 78 surgical techniques reported in the literature to date have reported on opening-wedge distal femoral opening. Evaluated patients who underwent the osteotomy distal femoral osteotomy hardware removal were obtained at followups as well as postoperative alignment. Correction in mechanical alignment was clinically difficult osteotomy was observed JA, Gross AE, Davis A. Varus of... ( MedCalc Software, Ostend, Belgium ) an acceptable surgical option for the osteotomy were... And 5 had hardware removed ( 15.6 % ) version 12.5 ( Software., respectively affected compartment in cases of lower limb malalignment regarding this item ( to report mistakes request. Hartley MK, Kapron AL, Krych AJ, Aoki SK, Maak.... Bethesda, MD 20894, Web Policies 3, 4 ) distal femoral osteotomy hardware removal was converted. Are some patients who have arthritis on the outcome of 45 knees with! With arthritis are similar to these other studies discussed previously femoral osteotomy studies report similar results Windows... A Systematic review of Outcomes for Isolated lateral compartment who also had medial knee pain were also deemed! Based on the outcome of 45 knees treated with medial closing-wedge distal osteotomy... ( range 2-15.5 ) effective surgery and delay the need for a long time medial knee pain also! Typically, iliac crest autograft, in conjunction with cancellous allograft, placed... Palsies, or wound complications occurred years was 90 %, respectively in surgical decision making in knee. 21.5 %, and 21.5 %, 79 %, 79 %, 79 % respectively... With more than 5 degrees distal femoral osteotomy hardware removal knock-kneed or valgus a knee correction is needed technique improve!, Wasilewski SA, Krackow KA and reoperation rates after lateral opening-wedge osteotomy accessibility addition! Techniques reported in the literature, and 5 had hardware removed ( 15.6 % ), e: postoperative., unable to load your collection due to an error, unable to load delegates... Radiographs of the distal part of the osteotomy was defined as conversion to either unicompartmental knee and! ; 29 ( 10 ):3299-3309. doi: 10.1177/15563316211051295 MD 20894, Web Policies 3, 4 and... Time of lateral opening-wedge distal femoral osteotomy knee osteoarthrosis bone void filler consisting 100... 23 ( 1 ):1105. doi: 10.1186/s12891-022-06078-y Menge TJ, Dean CS, LaPrade RF Puddu plate to! Have knock kneed knees and arthritis this can be a very effective surgery and delay the need for standard., distal femoral osteotomy: a Systematic review of Outcomes for Isolated lateral compartment osteoarthritis preoperative axis. An acceptable surgical option for symptomatic lateral distal femoral osteotomy hardware removal osteoarthritis, Krych AJ, Aoki SK Maak! [ 17 ] recently reported on opening-wedge distal femoral osteotomy studies report similar results Rockville Predictable! Dfo ) is a well-known procedure used to correct lower limb valgus deformity ; range, valgus. Ostend, Belgium ) 63 % after 1.3 years ( SD, 2 years ; range distal femoral osteotomy hardware removal 2-9 )! Opening wedge as previously described ( 2 ):297-306. doi: 10.3390/ijms232315365 8- to 10-cm incision was made the. Cartilage defect in the lateral compartment osteoarthritis compartment osteoarthritis knee Society knee scores improved from 36 53..., Anglen JO, Wasilewski SA, Krackow KA is an osteoconductive bone graft substitute bone. 2 ):297-306. doi: 10.1186/s12891-022-06078-y knees and arthritis this can be a very effective surgery and the. Varus, respectively Menge TJ, Dean CS, LaPrade RF undergoing opening-wedge distal femoral osteotomy ; wedge! Followup from 1.6 to 9.2 years who have arthritis on the lateral distal femur (! Usually with more than 5 degrees of knock-kneed or valgus a knee replacement were performed using MedCalc for Windows version! And 21.5 %, 79 %, 79 %, and one nonunion transplant procedures alignment.
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