ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2015
Midterm results following medial closed wedge distal femoral osteotomy stabilized with a locking internal fixation device.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Postoperative weightbearing timing after distal femur osteotomy is not associated with rates of union or complications: A systematic review and meta-analysis.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Pooled it
- Distal Femoral Varus Osteotomy in Valgus Knee With Lateral Compartment Osteoarthritis: A Systematic Review.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2025Pooled it
- Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review.BMC musculoskeletal disorders · 2019Pooled it
- A Combined Closing Wedge Distal Femoral Osteotomy and Medial Reefing Procedure for Recurrent Patellar Dislocation with Genu Valgum.Yonsei medical journal · 2017Trial
- The Closing Wedge Distal Femoral Osteotomy: A Series of 19 Cases for the Management of Genu Valgum and Genu Varum.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2026Article
- The Neutral Hinge for Medial Closing Wedge Distal Femur Osteotomy. A 3-dimensional Surgical Simulation Study.Orthopaedic journal of sports medicine · 2025Article
- Efficacy and Complications of Fixator-Assisted Correction with Internal Fixation in the Genu Valgum.Indian journal of orthopaedics · 2024Article
- Surgical Technique and Preliminary Outcomes of Double-Level Osteotomy for Valgus Deformity.Orthopaedic journal of sports medicine · 2024Article
- Morphological analysis of the distal femur as a surgical reference in biplane distal femoral osteotomy.Scientific reports · 2024Article
- Impact of support instruments in medial closed-wedge distal femoral osteotomy: a finite element analysis.Archives of orthopaedic and trauma surgery · 2024Article
- Simultaneous medial closing wedge distal femoral varus osteotomy and double-bundle anterior cruciate ligament reconstruction in the symptomatic femoral valgus deformity: A case report.Joint diseases and related surgery · 2024Article
- Additional Plate Fixation of Hinge Fractures After Varisation Distal Femoral Osteotomies Provides Favorable Torsional Stability: A Biomechanical Study.The American journal of sports medicine · 2023Article
- In closed wedge distal femur osteotomies for correction of valgus malalignment overcorrection of mLDFA should be avoided.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Distalization of hinge site with use of hinge wire reduces hinge fracture rates in closing wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Double-level knee osteotomy accurately corrects lower limb deformity and provides satisfactory functional outcomes in bifocal (femur and tibia) valgus malaligned knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Finite element analysis of medial closing and lateral opening wedge osteotomies of the distal femur in relation to hinge fractures.Journal of experimental orthopaedics · 2023Article
- Analysis of bone union after medial closing wedge distal femoral osteotomy using a new radiographic scoring system.Archives of orthopaedic and trauma surgery · 2022Article
- Correction of Severe Knees Valgus Deformities in a Patient With Renal Osteodystrophy.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2022Article
- Dislocated hinge fractures are associated with malunion after lateral closing wedge distal femoral osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Observational
- Osteotomies for lateral compartment knee osteoarthritis.Journal of clinical orthopaedics and trauma · 2022Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAim of this study was to evaluate the subjective and radiological outcome and to evaluate the complications of a medial closing wedge osteotomy at the femur for lateral osteoarthritis with genu valgum.
methodsTwenty-three patients with grade III to IV cartilage damage and valgus knee alignment were treated with medial closing wedge osteotomy at the distal femur. The osteotomy was stabilized with an internal plate fixator. Age varied between 25 and 55 years (mean 47 years). One patient was lost to final follow-up.
resultsAfter 3.5 years, all Knee Osteoarthritis Outcome Score (KOOS) subitems increased significantly. There was no significant difference in the subgroup analysis of KOOS subitems for patients with and without microfracture or age (>50 vs. <50 years). There were no perioperative complications. One patient had an overcorrection. All, but one osteotomy, showed stable bone healing. There was a loss of correction due to delayed bone healing in one case. Possible explanations for this complication were injury of the lateral cortex or smoking. This case required revision with bone graft and an additional lateral plate. In no case, a conversion to an endoprosthesis was necessary.
conclusionThe femoral medial closing wedge osteotomy is a surgical method for improving symptoms of lateral osteoarthritis in the valgus knee. LEVEL OF EVIDENCE: IV.
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