Closing-Wedge Distal Femoral Osteotomies- Retrospective Study

Abstract Objective To describe the surgical technique of distal closing-wedge femoral osteotomy and a cases series submitted to this technique. Methods A total of 26 patients submitted to medial closing-wedge distal femoral osteotomy from 2002 to 2013 were evaluated. All of the patients had thei...

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Main Authors: Pedro Barreira Cabral, Diego Costa Astur, Eduardo Vasconcelos Freitas, Bruno Silveira Pavei, Camila Cohen Kaleka, Moises Cohen
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200198&lng=en&tlng=en
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author Pedro Barreira Cabral
Diego Costa Astur
Eduardo Vasconcelos Freitas
Bruno Silveira Pavei
Camila Cohen Kaleka
Moises Cohen
author_facet Pedro Barreira Cabral
Diego Costa Astur
Eduardo Vasconcelos Freitas
Bruno Silveira Pavei
Camila Cohen Kaleka
Moises Cohen
author_sort Pedro Barreira Cabral
collection DOAJ
description Abstract Objective To describe the surgical technique of distal closing-wedge femoral osteotomy and a cases series submitted to this technique. Methods A total of 26 patients submitted to medial closing-wedge distal femoral osteotomy from 2002 to 2013 were evaluated. All of the patients had their medical files and imaging exams reviewed to evaluate the degree of correction and their current state. Results Out of the 26 patients, 12 weremale and 14 were female. Their mean age was 47.15 years old. In all of the cases, a neutral alignment related to the anatomical axis was achieved. Most of the patients presented bone healing at 6 weeks. There were no cases of bleeding during the surgery. One patient presented with delayed bone healing. One patient complained of plaque-related discomfort, requiring the removal of the device. One patient had a superficial infection, but no osteotomy revision was needed. Therewere no cases of deep venous thrombosis or of pulmonary thromboembolism. To date, there has been no conversion to total knee replacement. Conclusion Treatment with medial closing-wedge distal femoral osteotomy sustained the proposed correction in patients with up to 15 years of follow-up.
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spelling doaj.art-0ce1c5cda8564768a7b430e2350b58052024-02-02T07:46:28ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437854219820110.1016/j.rbo.2017.10.007S0102-36162019000200198Closing-Wedge Distal Femoral Osteotomies- Retrospective StudyPedro Barreira CabralDiego Costa AsturEduardo Vasconcelos FreitasBruno Silveira PaveiCamila Cohen KalekaMoises CohenAbstract Objective To describe the surgical technique of distal closing-wedge femoral osteotomy and a cases series submitted to this technique. Methods A total of 26 patients submitted to medial closing-wedge distal femoral osteotomy from 2002 to 2013 were evaluated. All of the patients had their medical files and imaging exams reviewed to evaluate the degree of correction and their current state. Results Out of the 26 patients, 12 weremale and 14 were female. Their mean age was 47.15 years old. In all of the cases, a neutral alignment related to the anatomical axis was achieved. Most of the patients presented bone healing at 6 weeks. There were no cases of bleeding during the surgery. One patient presented with delayed bone healing. One patient complained of plaque-related discomfort, requiring the removal of the device. One patient had a superficial infection, but no osteotomy revision was needed. Therewere no cases of deep venous thrombosis or of pulmonary thromboembolism. To date, there has been no conversion to total knee replacement. Conclusion Treatment with medial closing-wedge distal femoral osteotomy sustained the proposed correction in patients with up to 15 years of follow-up.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200198&lng=en&tlng=enosteotomyfemurkneeosteoarthritisgenu valgum
spellingShingle Pedro Barreira Cabral
Diego Costa Astur
Eduardo Vasconcelos Freitas
Bruno Silveira Pavei
Camila Cohen Kaleka
Moises Cohen
Closing-Wedge Distal Femoral Osteotomies- Retrospective Study
Revista Brasileira de Ortopedia
osteotomy
femur
knee
osteoarthritis
genu valgum
title Closing-Wedge Distal Femoral Osteotomies- Retrospective Study
title_full Closing-Wedge Distal Femoral Osteotomies- Retrospective Study
title_fullStr Closing-Wedge Distal Femoral Osteotomies- Retrospective Study
title_full_unstemmed Closing-Wedge Distal Femoral Osteotomies- Retrospective Study
title_short Closing-Wedge Distal Femoral Osteotomies- Retrospective Study
title_sort closing wedge distal femoral osteotomies retrospective study
topic osteotomy
femur
knee
osteoarthritis
genu valgum
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162019000200198&lng=en&tlng=en
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AT brunosilveirapavei closingwedgedistalfemoralosteotomiesretrospectivestudy
AT camilacohenkaleka closingwedgedistalfemoralosteotomiesretrospectivestudy
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