J Korean Orthop Assoc.  2018 Aug;53(4):301-306. 10.4055/jkoa.2018.53.4.301.

Surgical Technique for Distal Femur Varization Osteotomy

  • 1Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea. hyw0202@hanmail.net
  • 2Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea.


A closing wedge distal femoral osteotomy is a procedure to reduce pain and delay the progression of degenerative arthritis of knee by moving the weight bearing line from the lateral compartment to the medial side while preserving the knee joint. Age, weight bearing line, and the degree of arthritis are the essential factors to be considered at the time of surgery. The indications for distal femoral osteotomy are as follows. All patients are aged less than 65 years old, normal medial compartment of the knee with normal patello femoral joint, valgus deformity with lateral degenerative arthritis, younger patients with lateral osteochondritis, congenital osteochondrosis, and recurrent patellar dislocation with genu valgum. The distal femoral osteotomy provides the advantages of rapid pain reduction and short rehabilitation in young and active patients and patients who are subjected to heavy loads on the knee.


genu valgum; osteoarthritis; osteotomy; recurrent patella dislocation
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