The effect of lateral opening wedge distal femoral osteotomy on leg length

Purpose Varisation distal femoral osteotomy is a well-described treatment for lateral compartment arthrosis in the young, active patient. This treatment may potentially alter the length of the lower limb . The objective of this study was to quantify the change in leg length following lateral opening...

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Bibliographic Details
Published in:Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA sports traumatology, arthroscopy : official journal of the ESSKA, 2016-03, Vol.24 (3), p.847-854
Main Authors: Madelaine, A., Lording, T., Villa, V., Lustig, S., Servien, E., Neyret, P.
Format: Article
Language:English
Subjects:
Adult
Bioengineering
Female
Femur - surgery
Follow-Up Studies
Genu Valgum - surgery
Humans
Joint surgery
Knee
Life Sciences
Lower Extremity - anatomy & histology
Lower Extremity - diagnostic imaging
Male
Medicine
Medicine & Public Health
Orthopedics
Osteotomy - methods
Patient satisfaction
Radiography
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Summary:Purpose Varisation distal femoral osteotomy is a well-described treatment for lateral compartment arthrosis in the young, active patient. This treatment may potentially alter the length of the lower limb . The objective of this study was to quantify the change in leg length following lateral opening wedge distal femoral osteotomy using a blade plate. Methods Between 1998 and 2011, 29 lateral opening wedge distal femoral osteotomies were performed for symptomatic genu valgum with signs of lateral compartment arthrosis or patello-femoral symptoms. The mean age was 44.4 years (±11.3). Average follow-up was 80.2 months (±50.6). Results The mean osteotomy opening was 8.3° (±2.3). The femoro-tibial mechanical axis (mFTA) was improved significantly, from 187.8° (±3.5) to 180.4° (±2.6) post-operatively ( p  
ISSN:0942-2056
1433-7347
DOI:10.1007/s00167-014-3387-5