Lateral Opening-Wedge Distal Femoral Osteotomy Made Easy: Tips and Tricks.

ABSTRACT: A lateral opening-wedge distal femoral osteotomy is useful to offload the lateral tibiofemoral compartment for focal chondral defects or isolated lateral compartment arthritis. Although beneficial for these lateral compartment disorders, a distal femoral osteotomy requires careful forethought to optimize correction accuracy and safety. We recommend the following for effective execution of a distal femoral osteotomy: (1) Plan the desired correction preoperatively while accounting for an individual patient's anatomy and femoral width. (2) Perform an iliotibial band Z-lengthening for large deformity corrections to not overconstrain the lateral structures. (3) Use the plate to help guide the level of the osteotomy, which will facilitate bony contact after the osteotomy and decrease plate promi

SUBMITTER: Allahabadi S 

PROVIDER: S-EPMC10837839 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature