Skip to main content
Top
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2014

01-10-2014 | Knee

Biplanar supracondylar femoral derotation osteotomy for patellofemoral malalignment: the anterior closed-wedge technique

Authors: Stefan Hinterwimmer, Philipp Minzlaff, Tim Saier, Philipp Niemeyer, Andreas B. Imhoff, Matthias J. Feucht

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2014

Login to get access

Abstract

Patellofemoral malalignment can be caused by several factors including increased internal torsion of the femur. As a causative treatment method, supracondylar femoral derotation osteotomies have been proposed. For valgus- and varus-producing supracondylar femoral osteotomies, a biplanar osteotomy has been introduced in order to enhance primary fixation stability and osseous consolidation by increased bone-to-bone contact. In this article, a modification of this technique is described, which allows for a biplanar supracondylar femoral derotation osteotomy. Level of evidence V.
Literature
1.
go back to reference Backstein D, Morag G, Hanna S, Safir O, Gross A (2007) Long-term follow-up of distal femoral varus osteotomy of the knee. J Arthroplast 22(4 Suppl 1):2–6CrossRef Backstein D, Morag G, Hanna S, Safir O, Gross A (2007) Long-term follow-up of distal femoral varus osteotomy of the knee. J Arthroplast 22(4 Suppl 1):2–6CrossRef
3.
go back to reference Brinkman JM, Hurschler C, Staubli AE, van Heerwaarden RJ (2011) Axial and torsional stability of an improved single-plane and a new bi-plane osteotomy technique for supracondylar femur osteotomies. Knee Surg Sports Traumatol Arthrosc 19(7):1090–1098PubMedCrossRef Brinkman JM, Hurschler C, Staubli AE, van Heerwaarden RJ (2011) Axial and torsional stability of an improved single-plane and a new bi-plane osteotomy technique for supracondylar femur osteotomies. Knee Surg Sports Traumatol Arthrosc 19(7):1090–1098PubMedCrossRef
4.
go back to reference Bruce WD, Stevens PM (2004) Surgical correction of miserable malalignment syndrome. J Pediatr Orthop 24(4):392–396PubMedCrossRef Bruce WD, Stevens PM (2004) Surgical correction of miserable malalignment syndrome. J Pediatr Orthop 24(4):392–396PubMedCrossRef
5.
go back to reference Cooke TD, Price N, Fisher B, Hedden D (1990) The inwardly pointing knee. An unrecognized problem of external rotational malalignment. Clin Orthop Relat Res 260:56–60PubMed Cooke TD, Price N, Fisher B, Hedden D (1990) The inwardly pointing knee. An unrecognized problem of external rotational malalignment. Clin Orthop Relat Res 260:56–60PubMed
6.
go back to reference Decker S, Suero EM, Hawi N, Muller CW, Krettek C, Citak M (2013) The physiological range of femoral antetorsion. Skeletal Radiol 42(11):1501–1505PubMedCrossRef Decker S, Suero EM, Hawi N, Muller CW, Krettek C, Citak M (2013) The physiological range of femoral antetorsion. Skeletal Radiol 42(11):1501–1505PubMedCrossRef
7.
go back to reference Dejour H, Walch G, Nove-Josserand L, Guier C (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2(1):19–26PubMedCrossRef Dejour H, Walch G, Nove-Josserand L, Guier C (1994) Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc 2(1):19–26PubMedCrossRef
8.
go back to reference Delgado ED, Schoenecker PL, Rich MM, Capelli AM (1996) Treatment of severe torsional malalignment syndrome. J Pediatr Orthop 16(4):484–488PubMedCrossRef Delgado ED, Schoenecker PL, Rich MM, Capelli AM (1996) Treatment of severe torsional malalignment syndrome. J Pediatr Orthop 16(4):484–488PubMedCrossRef
9.
go back to reference Dewilde TR, Dauw J, Vandenneucker H, Bellemans J (2013) Opening wedge distal femoral varus osteotomy using the Puddu plate and calcium phosphate bone cement. Knee Surg Sports Traumatol Arthrosc 21(1):249–254PubMedCrossRef Dewilde TR, Dauw J, Vandenneucker H, Bellemans J (2013) Opening wedge distal femoral varus osteotomy using the Puddu plate and calcium phosphate bone cement. Knee Surg Sports Traumatol Arthrosc 21(1):249–254PubMedCrossRef
10.
go back to reference Dickschas J, Harrer J, Pfefferkorn R, Strecker W (2012) Operative treatment of patellofemoral maltracking with torsional osteotomy. Arch Orthop Trauma Surg 132(3):289–298PubMedCrossRef Dickschas J, Harrer J, Pfefferkorn R, Strecker W (2012) Operative treatment of patellofemoral maltracking with torsional osteotomy. Arch Orthop Trauma Surg 132(3):289–298PubMedCrossRef
11.
go back to reference Diederichs G, Kohlitz T, Kornaropoulos E, Heller MO, Vollnberg B, Scheffler S (2013) Magnetic resonance imaging analysis of rotational alignment in patients with patellar dislocations. Am J Sports Med 41(1):51–57PubMedCrossRef Diederichs G, Kohlitz T, Kornaropoulos E, Heller MO, Vollnberg B, Scheffler S (2013) Magnetic resonance imaging analysis of rotational alignment in patients with patellar dislocations. Am J Sports Med 41(1):51–57PubMedCrossRef
12.
go back to reference Eckhoff DG, Kramer RC, Alongi CA, VanGerven DP (1994) Femoral anteversion and arthritis of the knee. J Pediatr Orthop 14(5):608–610PubMedCrossRef Eckhoff DG, Kramer RC, Alongi CA, VanGerven DP (1994) Femoral anteversion and arthritis of the knee. J Pediatr Orthop 14(5):608–610PubMedCrossRef
13.
go back to reference Eckhoff DG, Montgomery WK, Kilcoyne RF, Stamm ER (1994) Femoral morphometry and anterior knee pain. Clin Orthop Relat Res 302:64–68PubMed Eckhoff DG, Montgomery WK, Kilcoyne RF, Stamm ER (1994) Femoral morphometry and anterior knee pain. Clin Orthop Relat Res 302:64–68PubMed
14.
go back to reference Feller JA, Amis AA, Andrish JT, Arendt EA, Erasmus PJ, Powers CM (2007) Surgical biomechanics of the patellofemoral joint. Arthroscopy 23(5):542–553PubMedCrossRef Feller JA, Amis AA, Andrish JT, Arendt EA, Erasmus PJ, Powers CM (2007) Surgical biomechanics of the patellofemoral joint. Arthroscopy 23(5):542–553PubMedCrossRef
15.
go back to reference Freiling D, van Heerwaarden R, Staubli A, Lobenhoffer P (2010) The medial closed-wedge osteotomy of the distal femur for the treatment of unicompartmental lateral osteoarthritis of the knee. Oper Orthop Traumatol 22(3):317–334PubMedCrossRef Freiling D, van Heerwaarden R, Staubli A, Lobenhoffer P (2010) The medial closed-wedge osteotomy of the distal femur for the treatment of unicompartmental lateral osteoarthritis of the knee. Oper Orthop Traumatol 22(3):317–334PubMedCrossRef
16.
go back to reference Hinterwimmer S, Rosenstiel N, Lenich A, Waldt S, Imhoff AB (2012) Femoral osteotomy for patellofemoral instability. Der Unfallchirurg 115(5):410–416PubMedCrossRef Hinterwimmer S, Rosenstiel N, Lenich A, Waldt S, Imhoff AB (2012) Femoral osteotomy for patellofemoral instability. Der Unfallchirurg 115(5):410–416PubMedCrossRef
17.
go back to reference Imhoff AB, Feucht MJ, Meidinger G, Schottle PB, Cotic M (2013) Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months. Knee Surg Sports Traumatol Arthrosc. doi:10.1007/s00167-013-2786-3 Imhoff AB, Feucht MJ, Meidinger G, Schottle PB, Cotic M (2013) Prospective evaluation of anatomic patellofemoral inlay resurfacing: clinical, radiographic, and sports-related results after 24 months. Knee Surg Sports Traumatol Arthrosc. doi:10.​1007/​s00167-013-2786-3
18.
go back to reference Kohn LM, Meidinger G, Beitzel K, Banke IJ, Hensler D, Imhoff AB, Schottle PB (2013) Isolated and combined medial patellofemoral ligament reconstruction in revision surgery for patellofemoral instability: a prospective study. Am J Sports Med 41(9):2128–2135PubMedCrossRef Kohn LM, Meidinger G, Beitzel K, Banke IJ, Hensler D, Imhoff AB, Schottle PB (2013) Isolated and combined medial patellofemoral ligament reconstruction in revision surgery for patellofemoral instability: a prospective study. Am J Sports Med 41(9):2128–2135PubMedCrossRef
19.
go back to reference Lee TQ, Anzel SH, Bennett KA, Pang D, Kim WC (1994) The influence of fixed rotational deformities of the femur on the patellofemoral contact pressures in human cadaver knees. Clin Orthop Relat Res 302:69–74PubMed Lee TQ, Anzel SH, Bennett KA, Pang D, Kim WC (1994) The influence of fixed rotational deformities of the femur on the patellofemoral contact pressures in human cadaver knees. Clin Orthop Relat Res 302:69–74PubMed
20.
go back to reference Pape D, Dueck K, Haag M, Lorbach O, Seil R, Madry H (2013) Wedge volume and osteotomy surface depend on surgical technique for high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 21(1):127–133PubMedCrossRef Pape D, Dueck K, Haag M, Lorbach O, Seil R, Madry H (2013) Wedge volume and osteotomy surface depend on surgical technique for high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 21(1):127–133PubMedCrossRef
21.
go back to reference Pape D, Lorbach O, Schmitz C, Busch LC, Van Giffen N, Seil R, Kohn DM (2010) Effect of a biplanar osteotomy on primary stability following high tibial osteotomy: a biomechanical cadaver study. Knee Surg Sports Traumatol Arthrosc 18(2):204–211PubMedCrossRef Pape D, Lorbach O, Schmitz C, Busch LC, Van Giffen N, Seil R, Kohn DM (2010) Effect of a biplanar osteotomy on primary stability following high tibial osteotomy: a biomechanical cadaver study. Knee Surg Sports Traumatol Arthrosc 18(2):204–211PubMedCrossRef
22.
go back to reference Pape D, Madry H (2013) The preclinical sheep model of high tibial osteotomy relating basic science to the clinics: standards, techniques and pitfalls. Knee Surg Sports Traumatol Arthrosc 21(1):228–236PubMedCrossRef Pape D, Madry H (2013) The preclinical sheep model of high tibial osteotomy relating basic science to the clinics: standards, techniques and pitfalls. Knee Surg Sports Traumatol Arthrosc 21(1):228–236PubMedCrossRef
23.
go back to reference Petersen W, Forkel P (2013) Medial closing wedge osteotomy for correction of genu valgum and torsional malalignment. Oper Orthop Traumatol 25(6):593–607PubMedCrossRef Petersen W, Forkel P (2013) Medial closing wedge osteotomy for correction of genu valgum and torsional malalignment. Oper Orthop Traumatol 25(6):593–607PubMedCrossRef
24.
go back to reference Post WR, Teitge R, Amis A (2002) Patellofemoral malalignment: looking beyond the viewbox. Clin Sports Med 21(3):521–546PubMedCrossRef Post WR, Teitge R, Amis A (2002) Patellofemoral malalignment: looking beyond the viewbox. Clin Sports Med 21(3):521–546PubMedCrossRef
25.
go back to reference Saithna A, Kundra R, Modi CS, Getgood A, Spalding T (2012) Distal femoral varus osteotomy for lateral compartment osteoarthritis in the valgus knee. A systematic review of the literature. Open Orthop J 6:313–319PubMedCrossRefPubMedCentral Saithna A, Kundra R, Modi CS, Getgood A, Spalding T (2012) Distal femoral varus osteotomy for lateral compartment osteoarthritis in the valgus knee. A systematic review of the literature. Open Orthop J 6:313–319PubMedCrossRefPubMedCentral
26.
go back to reference Strecker W, Keppler P, Gebhard F, Kinzl L (1997) Length and torsion of the lower limb. J Bone Joint Surg Br 79(6):1019–1023PubMedCrossRef Strecker W, Keppler P, Gebhard F, Kinzl L (1997) Length and torsion of the lower limb. J Bone Joint Surg Br 79(6):1019–1023PubMedCrossRef
27.
go back to reference van Heerwaarden R, Najfeld M, Brinkman M, Seil R, Madry H, Pape D (2013) Wedge volume and osteotomy surface depend on surgical technique for distal femoral osteotomy. Knee Surg Sports Traumatol Arthrosc 21(1):206–212PubMedCrossRef van Heerwaarden R, Najfeld M, Brinkman M, Seil R, Madry H, Pape D (2013) Wedge volume and osteotomy surface depend on surgical technique for distal femoral osteotomy. Knee Surg Sports Traumatol Arthrosc 21(1):206–212PubMedCrossRef
28.
go back to reference Visser J, Brinkman JM, Bleys RL, Castelein RM, van Heerwaarden RJ (2013) The safety and feasibility of a less invasive distal femur closing wedge osteotomy technique: a cadaveric dissection study of the medial aspect of the distal femur. Knee Surg Sports Traumatol Arthrosc 21(1):220–227PubMedCrossRef Visser J, Brinkman JM, Bleys RL, Castelein RM, van Heerwaarden RJ (2013) The safety and feasibility of a less invasive distal femur closing wedge osteotomy technique: a cadaveric dissection study of the medial aspect of the distal femur. Knee Surg Sports Traumatol Arthrosc 21(1):220–227PubMedCrossRef
29.
go back to reference Wang JW, Hsu CC (2005) Distal femoral varus osteotomy for osteoarthritis of the knee. J Bone Joint Surg Am 87(1):127–133PubMedCrossRef Wang JW, Hsu CC (2005) Distal femoral varus osteotomy for osteoarthritis of the knee. J Bone Joint Surg Am 87(1):127–133PubMedCrossRef
Metadata
Title
Biplanar supracondylar femoral derotation osteotomy for patellofemoral malalignment: the anterior closed-wedge technique
Authors
Stefan Hinterwimmer
Philipp Minzlaff
Tim Saier
Philipp Niemeyer
Andreas B. Imhoff
Matthias J. Feucht
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2014
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-014-2993-6

Other articles of this Issue 10/2014

Knee Surgery, Sports Traumatology, Arthroscopy 10/2014 Go to the issue