Distal Femoral Varus Osteotomy for the Management of Valgus Deformity of the Knee

J Am Acad Orthop Surg. 2018 May 1;26(9):313-324. doi: 10.5435/JAAOS-D-16-00179.


Distal femoral varus osteotomy is a well-described treatment option for patients with valgus malalignment associated with a variety of underlying conditions. This procedure may be the definitive treatment option in active patients with isolated lateral compartment osteoarthritis or posttraumatic arthritis. It may be a useful concomitant procedure in young patients with lateral meniscus deficiency, focal chondral defects, chronic medial collateral ligament insufficiency, and/or patellofemoral instability. Distal femoral varus osteotomy can be performed with medial closing wedge or lateral opening wedge techniques. Variable outcomes and complication rates have been reported. A framework for the use of distal femoral varus osteotomy can aid the orthopaedic surgeon in the evaluation and treatment of patients with symptomatic valgus malalignment.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Femur / surgery*
  • Genu Valgum / diagnostic imaging
  • Genu Valgum / pathology
  • Genu Valgum / physiopathology
  • Genu Valgum / surgery*
  • Humans
  • Medical History Taking
  • Osteotomy / methods*
  • Osteotomy / rehabilitation
  • Patient Care Planning
  • Physical Examination
  • Preoperative Period