115 / 242
The effect of lateral opening wedge distal femoral osteotomy on leg length
115
Conclusion
Lateral opening wedge varising distal femoral
osteotomy, using a blade plate and performed
for symptomatic genu valgum, has no effect on
leg length.This technique allows good correction
of the axis of the lower limb, however, the
complication rate is not insignificant and the
procedure should be reserved actually for young,
active patients with significant symptoms.
Table 1: Literature review comparing follow-up, pre and postoperative axis and LLD and complications
Authors
Year
Cases
Mean follow
-up (months)
Mean pre-
operative
axis (°)
Mean post
-operative
axis (°)
LLD pre/post
Complications
Lateral opening wedge distal femoral osteotomy
Zarrouk et al. [13]
2009
22
90 194.5
-
-
-
Jacobi et al. [15]
2011
14
45
-
-
-
1
Dewilde et al. [14]
2013
19
68 195.3 178.7
-
1
Saithna et al. 12]
2013
21
54
-
-
-
6
Our Study
2014
29
80 187,8 180,4 -0.7/-0.6 4
Medial closing wedge distal femoral osteotomy
Edgerton et al. [6]
1989
24
60
198
181
-
17
Finkelstein et al. [5]
1996
24 133
-
-
-
4
Aglietti and Menchetti [11]
2000
18 108 197,5
186
-
0
Marin Morales et al. [10]
2000
19
78
196
181
-
1
Wang et al. [9]
2005
30
99 198,2 181,2
-
4
Backstein et al. [7]
2007
40 123 191,6 178,8
-
-
Kosashvili et al. [8]
2010
33 181
-
-
-
-
Opening or closing wedge distal femoral osteotomy
Zilber et al. [18]
2004
11 126 193
182
-
3
Varising tibial osteotomy
Marti et al. [19]
2001
36 132 191,6 185,8
-
4
Collins et al. [20]
2013
24
54 182,4 177,4
-
3
Literature
[1] JN Insall, DM Joseph, C Msika “High tibial
osteotomy for varus gonarthrosis. A long-term follow-up
study”.
J Bone Joint Surg Am, vol. 66, n° 7, p. 1040 1048,
sept. 1984.
[2] MB Coventry, Proximal tibial varus osteotomy for
osteoarthritis of the lateral compartment of the knee.
J Bone
Joint Surg Am, vol. 69, n° 1, p. 32 38, janv. 1987.
[3] H Shoji, J Insall, High tibial osteotomy for
osteoarthritis of the knee with valgus deformity,
J Bone Joint
Surg Am, vol. 55, n° 5, p. 963-73, juill. 1973.
[4] RAMagnussen, S Lustig, G Demey, P Neyret,
E Servien. The effect of medial opening and lateral closing
high tibial osteotomy on leg length.
Am J Sports Med, vol.
39, n° 9, p. 1900-05, sept. 2011.