Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure

Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum in young, active individuals can be treated with a varus-producing distal femoral osteotomy with or without cartilage treatment. Both medial closing-wedge and lateral opening-wedge techniques have been des...

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Main Authors: Joseph J. Ruzbarsky, M.D., Justin W. Arner, M.D., Taylor J. Ridley, M.D., Joseph D. Cooper, M.D., Thomas R. Hackett, M.D.
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628720302516
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author Joseph J. Ruzbarsky, M.D.
Justin W. Arner, M.D.
Taylor J. Ridley, M.D.
Joseph D. Cooper, M.D.
Thomas R. Hackett, M.D.
author_facet Joseph J. Ruzbarsky, M.D.
Justin W. Arner, M.D.
Taylor J. Ridley, M.D.
Joseph D. Cooper, M.D.
Thomas R. Hackett, M.D.
author_sort Joseph J. Ruzbarsky, M.D.
collection DOAJ
description Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum in young, active individuals can be treated with a varus-producing distal femoral osteotomy with or without cartilage treatment. Both medial closing-wedge and lateral opening-wedge techniques have been described, with neither demonstrating clear superiority. The objective of this Technical Note is to describe a technique of biplanar medial opening-wedge with controlled reduction using an articulated tensioning device to achieve a safe, reproducible result.
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spelling doaj.art-3fe5c4ed97004861b6f4fcdbff5f2ac12022-12-21T19:23:40ZengElsevierArthroscopy Techniques2212-62872021-01-01101e79e84Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy ClosureJoseph J. Ruzbarsky, M.D.0Justin W. Arner, M.D.1Taylor J. Ridley, M.D.2Joseph D. Cooper, M.D.3Thomas R. Hackett, M.D.4Address correspondence to Joseph J. Ruzbarsky, M.D., Steadman Philippon Research Institute, The Steadman Clinic, 181 W Meadow Dr., Ste 400, Vail, CO 81657.; Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Steadman Clinic and Steadman Philippon Research Institute, Vail, Colorado, U.S.A.Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum in young, active individuals can be treated with a varus-producing distal femoral osteotomy with or without cartilage treatment. Both medial closing-wedge and lateral opening-wedge techniques have been described, with neither demonstrating clear superiority. The objective of this Technical Note is to describe a technique of biplanar medial opening-wedge with controlled reduction using an articulated tensioning device to achieve a safe, reproducible result.http://www.sciencedirect.com/science/article/pii/S2212628720302516
spellingShingle Joseph J. Ruzbarsky, M.D.
Justin W. Arner, M.D.
Taylor J. Ridley, M.D.
Joseph D. Cooper, M.D.
Thomas R. Hackett, M.D.
Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure
Arthroscopy Techniques
title Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure
title_full Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure
title_fullStr Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure
title_full_unstemmed Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure
title_short Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure
title_sort medial biplanar closing wedge distal femoral osteotomy using an articulated tensioning device for controlled osteotomy closure
url http://www.sciencedirect.com/science/article/pii/S2212628720302516
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