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Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy
Published on: February 17, 2023
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Genu Valgum Correction and Biplanar Osteotomies
1Department of Surgery, Fowler Kennedy Sports Medicine Clinic, Western University, London, Ontario, Canada.
Clinics in Sports Medicine
|November 16, 2021
Summary
Valgus malalignment increases the risk of recurrent patella instability. Corrective osteotomy, particularly medial closing wedge distal femoral osteotomy, can address this issue.
Area of Science:
- Orthopedic surgery
- Biomechanics
- Knee joint anatomy
Background:
- Valgus malalignment is a significant risk factor for recurrent patella instability.
- Understanding the biomechanical implications of malalignment is crucial for treatment.
- Various surgical techniques exist to correct lower limb malalignment.
Purpose of the Study:
- To explore the role of corrective osteotomy in managing recurrent patella instability.
- To discuss existing surgical methods for femoral and tibial osteotomies.
- To provide a detailed operative technique for medial closing wedge distal femoral osteotomy.
Main Methods:
- Review of existing literature on corrective osteotomies for patella instability.
- Discussion of surgical approaches for femoral and tibial osteotomies.
- Detailed description of the medial closing wedge distal femoral osteotomy procedure.
Main Results:
- Corrective osteotomy is a viable treatment option for valgus-induced patella instability.
- Multiple surgical techniques offer solutions for femoral and tibial malalignment.
- Medial closing wedge distal femoral osteotomy provides a specific method for correction.
Conclusions:
- Corrective osteotomy effectively addresses valgus malalignment contributing to patella instability.
- The choice of osteotomy depends on the specific malalignment and patient factors.
- Medial closing wedge distal femoral osteotomy is a detailed technique for femoral correction.

