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Updated: Jan 25, 2026

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
Medial Closing Wedge Distal Femoral Osteotomy
Nicholas C Duethman1, Christopher D Bernard1, Christopher L Camp1
1Department of Orthopedic Surgery, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA; Department of Sports Medicine, Mayo Clinic, 200 First Street South West, Rochester, MN 55905, USA.
Abstract:
The main indication for performing a distal femoral osteotomy is valgus malalignment of the knee joint. The ideal candidates are young and active individuals with isolated lateral compartment arthritis. The goal of the procedure is to create a neutral mechanical axis of the limb to relieve pain and preserve the knee joint. The amount of correction is calculated from a preoperative, high-quality, weight-bearing radiograph from the hip to ankle. This technically challenging operation is a viable option for patients with valgus malalignment because early survivorship is strong and patient-reported outcome scores are significantly improved.
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