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Wedge-less V-Shaped Distal Femoral Osteotomy Through Lateral Approach to Correct Valgus Malalignment
Sheetal Gupta1, Parvind Singh1, Rahul Verma1
1Galaxy Hospital Bhopal, Bhopal, India.
Arthroscopy Techniques
|January 16, 2026
Summary
Adolescent knee valgus, though less common than varus, can lead to cartilage damage and osteoarthritis. Various distal femoral osteotomy techniques exist to correct this alignment.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Biomechanical analysis
Background:
- Coronal-plane knee deformities, specifically valgus alignment, are common in adolescents.
- Valgus alignment increases the risk of lateral compartment cartilage lesions, osteoarthritis, and patellofemoral instability.
- Medial collateral ligament attenuation is also associated with knee valgus.
Purpose of the Study:
- To review current literature on distal femoral osteotomy techniques for correcting adolescent knee valgus.
- To highlight the pathological sequelae associated with knee valgus alignment.
Main Methods:
- Literature review of existing studies on distal femoral osteotomies.
- Analysis of different surgical techniques for valgus correction.
Main Results:
- Multiple distal femoral osteotomy techniques are described, including lateral opening-wedge, medial closing-wedge, dome, wedge-less spike, and wedge-less V osteotomy.
- These techniques aim to correct coronal plane deformities.
Conclusions:
- Distal femoral osteotomy offers surgical options for correcting adolescent knee valgus.
- Understanding these techniques is crucial for managing valgus-related knee pathologies.
