Rotational Femoral Osteotomy

2011 ◽  
pp. 441-442
Author(s):  
Robert A. Teitge ◽  
Roger Torga-Spak
Keyword(s):  
Femoral Osteotomy

scholarly journals Dislocated hinge fractures are associated with malunion after lateral closing wedge distal femoral osteotomy

2021 ◽  
Author(s):  
Marco-Christopher Rupp ◽  
Philipp W. Winkler ◽  
Patricia M. Lutz ◽  
Markus Irger ◽  
Philipp Forkel ◽  
...  
Keyword(s):  
Femoral Osteotomy ◽  
Common Finding ◽  
Fracture Type ◽  
Varus Malalignment ◽  
Distal Femoral Osteotomy ◽  
Closing Wedge ◽  
Increased Risk ◽  
Surgical Data ◽  
Technical Factors ◽  
Hinge Fracture

Abstract Purpose To evaluate the incidence, morphology, and associated complications of medial cortical hinge fractures after lateral closing wedge distal femoral osteotomy (LCW-DFO) for varus malalignment and to identify constitutional and technical factors predisposing for hinge fracture and consecutive complications. Methods Seventy-nine consecutive patients with a mean age of 47 ± 12 years who underwent LCW-DFO for symptomatic varus malalignment at the authors’ institution between 01/2007 and 03/2018 with a minimum of 2-year postoperative time interval were enrolled in this retrospective observational study. Demographic and surgical data were collected. Measurements evaluating the osteotomy cut (length, wedge height, hinge angle) and the location of the hinge (craniocaudal and mediolateral orientation, relation to the adductor tubercle) were conducted on postoperative anterior–posterior knee radiographs and the incidence and morphology of medial cortical hinge fractures was assessed. A risk factor analysis of constitutional and technical factors predisposing for the incidence of a medial cortical hinge fracture and consecutive complications was conducted. Results The incidence of medial cortical hinge fractures was 48%. The most frequent morphological type was an extension fracture type (68%), followed by a proximal (21%) and distal fracture type (11%). An increased length of the osteotomy in mm (53.1 ± 10.9 vs. 57.7 ± 9.6; p = 0.049), an increased height of the excised wedge in mm (6.5 ± 1.9 vs. 7.9 ± 3; p = 0.040) as well as a hinge location in the medial sector of an established sector grid (p = 0.049) were shown to significantly predispose for the incidence of a medial cortical hinge fracture. The incidence of malunion after hinge fracture (14%) was significantly increased after mediolateral dislocation of the medial cortical bone > 2 mm (p < 0.05). Conclusion Medial cortical hinge fractures after LCW-DFO are a common finding. An increased risk of sustaining a hinge fracture has to be expected with increasing osteotomy wedge height and a hinge position close to the medial cortex. Furthermore, dislocation of a medial hinge fracture > 2 mm was associated with malunion and should, therefore, be avoided. Level of evidence Prognostic study; Level IV.

How the orientation of osteotomy in biplanar lateral closed-wedge distal femoral osteotomy influences the rotational alignment of the knee in all dimensional planes

The Knee ◽  
2021 ◽  
Vol 29 ◽  
pp. 167-173
Author(s):  
Hiroshi Nakayama ◽  
Ryo Kanto ◽  
Tomoya Iseki ◽  
Shintaro Onishi ◽  
Shunichiro Kambara ◽  
...  
Keyword(s):  
Femoral Osteotomy ◽  
Rotational Alignment ◽  
Distal Femoral Osteotomy ◽  
Closed Wedge

scholarly journals Medial Closed Wedge Distal Femoral Osteotomy Using a Novel Plate With an Optimal Compression System

2021 ◽  
Author(s):  
Ryuichi Nakamura ◽  
Takenori Akiyama ◽  
Ryohei Takeuchi ◽  
Hiroshi Nakayama ◽  
Eiji Kondo
Keyword(s):  
Femoral Osteotomy ◽  
Distal Femoral Osteotomy ◽  
Compression System ◽  
Closed Wedge

scholarly journals Eight respectively nine out of ten patients return to sport and work after distal femoral osteotomy

2018 ◽  
Vol 27 (7) ◽  
pp. 2345-2353 ◽  
Author(s):  
Alexander Hoorntje ◽  
Berbke T. van Ginneken ◽  
P. Paul F. M. Kuijer ◽  
Koen L. M. Koenraadt ◽  
Rutger C. I. van Geenen ◽  
...  
Keyword(s):  
Return To Sport ◽  
Femoral Osteotomy ◽  
Distal Femoral Osteotomy

Rehabilitation After Tibial and Femoral Osteotomy

2017 ◽  
pp. 858-867.e1 ◽  
Author(s):  
Frank R. Noyes ◽  
Timothy P. Heckmann ◽  
Sue D. Barber-Westin
Keyword(s):  
Femoral Osteotomy
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