title: Varus-Producing Lateral Distal Femoral Opening-Wedge Osteotomy.
abstract: Valgus knee alignment in excess of physiological valgus leads to excessive loading of the lateral compartment, which can potentially increase the risk of osteoarthritis and can place the medial knee structures at risk of chronic attenuation. Varus-producing distal femoral osteotomies have been proposed for correction of valgus malalignment, to relieve tension on medial-sided structures, as well as to off-load the lateral compartment. Understanding that symptomatic valgus deformity of the knee represents a complex problem that is magnified in the setting of lateral compartment arthritis or medial ligamentous incompetence, we present our preferred technique for a varus-producing distal femoral osteotomy using plate osteosynthesis and cancellous bone allograft.
authors.affiliation: The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
authors.forename: Justin J
authors.initials: JJ
authors.lastname: Mitchell
authors.affiliation: Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
authors.forename: Chase S
authors.initials: CS
authors.lastname: Dean
authors.affiliation: Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
authors.forename: Jorge
authors.initials: J
authors.lastname: Chahla
authors.affiliation: Steadman Philippon Research Institute, Vail, Colorado, U.S.A.; Oslo University Hospital, Oslo, Norway.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Moatshe
authors.affiliation: The Steadman Clinic, Vail, Colorado, U.S.A.
authors.forename: Tyler R
authors.initials: TR
authors.lastname: Cram
authors.affiliation: The Steadman Clinic, Vail, Colorado, U.S.A.; Steadman Philippon Research Institute, Vail, Colorado, U.S.A.
authors.forename: Robert F
authors.initials: RF
authors.lastname: LaPrade