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Archives of Orthopaedic and Trauma Surgery

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01-06-2011 | Orthopaedic Surgery

Distal femoral varus osteotomy: problems associated with the lateral open-wedge technique

Authors: Matthias Jacobi, Peter Wahl, Samy Bouaicha, Roland P. Jakob, Emanuel Gautier

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 6/2011

Abstract

Introduction

Varisation osteotomies on the distal femur are an established treatment method for valgus osteoarthritis of the knee in younger patients. Osteotomy can be done in a lateral open-wedge or medial closed-wedge manner.

Method

We retrospectively studied 14 patients treated by the lateral open-wedge technique, fixed with the Tomofix plate, with a mean duration of follow-up of 45 ± 3.4 months.

Results

We observed often delayed osteotomy healing after 3, 6 and 12 months, no secondary dislocations, and frequent troublesome irritation due to the plate being on the iliotibial band. However, outcome was satisfactory once the osteotomy healed and the plate was removed.

Conclusion

Based on the often slow healing of the osteotomy and frequent irritation due to the plate, this procedure has been abandoned by the authors, and the medial closing-wedge osteotomy adopted as the alternative treatment.

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Title: Distal femoral varus osteotomy: problems associated with the lateral open-wedge technique
Authors: Matthias Jacobi
Peter Wahl
Samy Bouaicha
Roland P. Jakob
Emanuel Gautier
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 6/2011
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-010-1193-1

At a glance: The STEP trials

Springer Medicine

Distal femoral varus osteotomy: problems associated with the lateral open-wedge technique

Abstract

Introduction

Method

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction

Method

Results

Conclusion

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