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


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2011-06

AUTHORS

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

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. More... »

PAGES

725-728

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00402-010-1193-1

DOI

http://dx.doi.org/10.1007/s00402-010-1193-1

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1034484522

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/20945150


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