Varus Distal Femoral Osteotomy

Techniques in Knee Surgery, 06/08/2012

The osteotomy is then stabilized with internal fixation, usu–ally a 90° blade plate. Postoperative weight–bearing is generally delayed for 6–8 weeks. Complications can include nonunion, failure of fixation, infection, loss of correction, and acceleration of medial compartment arthritis. With proper selection and careful attention to detail, VDFO can be successful in delaying the need for total knee arthroplasty (TKA), and it has been associated with 71%–83% good/excellent Hospital for Special Surgery scores at 4–8–year follow–up.

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