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Article Dans Une Revue Orthopaedics & Traumatology: Surgery & Research Année : 2021

Lateral femoral closing wedge osteotomy in genu varum.

Résumé

The distal femoral valgisation osteotomy has a variety of indications due to enhanced understanding of segmental deformities of the lower limb. Historically, an overall varus deformity was corrected at the tibia, and a valgus deformity at the femur. This approach of performing an "all in the tibia" correction for an overall varus can nevertheless lead to abnormal postoperative morphology because it is non-anatomical; creating joint line obliquity, and potentially shear stress on the cartilage. An original lateral femoral closing wedge osteotomy technique is described, allowing the correction of a genu varum of femoral or mixed origin, in the event of an associated tibial valgisation osteotomy. The detailed technique minimizes the risk of a hinge fracture while improving post-operative outcomes.
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Dates et versions

hal-03553773 , version 1 (15-04-2022)

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Matthieu Ollivier, Maxime Fabre-Aubrespy, Grégoire Micicoi, Matthieu Ehlinger, Lukas Hanak, et al.. Lateral femoral closing wedge osteotomy in genu varum.. Orthopaedics & Traumatology: Surgery & Research, 2021, 107 (7), pp.102989. ⟨10.1016/j.otsr.2021.102989⟩. ⟨hal-03553773⟩
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