Distal femoral medial closing wedge osteotomy for degenerative valgus knee : mid-term results in active patients

Abstract

Acta Orthopædica Belgica, Vol. 83 1 2017 Acta Orthopædica Belgica, Vol. 83 1 2017 Distal femoral medial closing wedge osteotomy (DFMCWO) may be a valuable treatment for arthritic valgus knees in young and active adults, with the possible aim of procrastinating knee replacement. 32 valgus knees (mean age : 41.4±11.2) treated with DFMCWO were retrospectively reviewed. All the knees had a lateral compartment osteoarthritis graded I-II-III according to Kellgren Lawrence classification. 20 knees had osteochondral lesions, treated with microfractures (8) or bone marrow derived cells transplantation (12). Patients were clinically (IKDC, KOOS, NRS, Tegner) and radiologically evaluated. A mean follow-up of 62.12±15.65 was achieved. KOOS score peaked at 24 months, showed a decremental trend, achieved a final results of 79,59±17,14. Similar trend was evident for IKDC. The final NRS score was 2.73±1.82 ; the final Tegner score was 4.81±1.56. Radiographs showed degenerative progression in 5 knees : 2 patients underwent knee replacement at the final follow-up. DFMCWO is an effective treatment to treat osteoarthritic symptomatology, delay degenerative progression and avoid knee replacement in valgus knees at mid-term follow-up

Cite this paper

@inproceedings{Buda2017DistalFM, title={Distal femoral medial closing wedge osteotomy for degenerative valgus knee : mid-term results in active patients}, author={Roberto Emanuele Buda and Francesco Castagnini and Giulio gorgolini and Matteo Baldassarri and Francesca Vannini and Giulio Gorgolini}, year={2017} }