title: Medial Closing-Wedge Distal Femoral Osteotomy: Fixation With Proximal Tibial Locking Plate.
abstract: Distal femoral varus osteotomy is a well-established procedure for the treatment of lateral compartment cartilage lesions and degenerative disease, correcting limb alignment and decreasing the progression of the pathology. Surgical techniques can be performed with a lateral opening-wedge or medial closing-wedge correction of the deformity. Fixation methods for lateral opening-wedge osteotomies are widely available, and there are various types of implants that can be used for fixation. However, there are currently only a few options of implants for fixation of a medial closing-wedge osteotomy on the market. This report describes a medial, supracondylar, V-shaped, closing-wedge distal femoral osteotomy using a locked anterolateral proximal tibial locking plate that fits anatomically to the medial side of the distal femur. This is a great option as a stable implant for a medial closing-wedge distal femoral osteotomy.
authors: Knee Group, Orthopedic and Traumatology Department, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
authors: Luís Eduardo Passarelli
authors: LE
authors: Tírico
authors: Knee Group, Orthopedic and Traumatology Department, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
authors: Marco Kawamura
authors: MK
authors: Demange
authors: Knee Group, Orthopedic and Traumatology Department, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
authors: Marcelo Batista
authors: MB
authors: Bonadio
authors: Knee Group, Orthopedic and Traumatology Department, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
authors: Camilo Partezani
authors: CP
authors: Helito
authors: Knee Group, Orthopedic and Traumatology Department, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
authors: Riccardo Gomes
authors: RG
authors: Gobbi
authors: Knee Group, Orthopedic and Traumatology Department, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil.
authors: José Ricardo
authors: JR
authors: Pécora