Medial Closing-Wedge Distal Femoral Osteotomy with Medial Patellofemoral Ligament Imbrication for Genu Valgum with Lateral Patellar Instability

Orlando D. Sabbag, Jarret M. Woodmass, Isabella T. Wu, Aaron Krych, Michael J. Stuart

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4 Scopus citations

Abstract

A varus-producing distal femoral osteotomy (DFO) is an effective technique for the treatment of lateral patellar instability (LPI) in patients with concomitant moderate to severe valgus malalignment. Patellar maltracking and subluxation are corrected via neutralization of some of the laterally directed forces on the patella due to the valgus deformity. This can be accomplished with a distal femoral lateral opening-wedge or medial closing-wedge osteotomy and medial soft tissue stabilization. A medial closing-wedge osteotomy offers the advantages of immediate weight bearing and a single incision in cases requiring patellofemoral soft tissue stabilization. In this article, we describe our preferred operative technique for a medial closing-wedge DFO using a femoral locking plate and medial patellofemoral ligament imbrication for the correction of LPI.

Original languageEnglish (US)
Pages (from-to)e2085-e2091
JournalArthroscopy Techniques
Volume6
Issue number6
DOIs
StatePublished - Dec 1 2017

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ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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