Scholarlink

<p>Distal femoral osteotomy (DFO) is a&#xa0;joint-preserving surgical procedure used to correct malalignment of the lower limbs, particularly in younger active patients with unicompartmental knee osteoarthritis. The goal is to achieve biomechanical offloading of the affected femorotibial compartment in order to slow the progression of osteoarthritis and delay the need for knee arthroplasty.</p><p>Accurate diagnostics, including clinical examination, full-length weight-bearing radiographs, magnetic resonance imaging (MRI) and, if necessary, computed tomography (CT) and arthroscopy, are essential for a correct interpretation of the indications and surgical planning. The axis correction is based on an individualized deformity analysis using a&#xa0;digital planning software. Depending on the type of deformity and leg length, DFO can be performed using either an open-wedge or closed-wedge technique.</p><p>Modern angle stable implants provide reliable fixation of the osteotomy. Postoperative rehabilitation begins early with functional partial weight-bearing and physiotherapy. In the long term, DFO demonstrates favorable clinical outcomes, with high patient satisfaction and a&#xa0;survival rate without conversion to a&#xa0;prosthesis of 70–90% after 10&#xa0;years.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Distale Femurosteotomie

  • 期刊论文

  • 发表日期：

    2026年1月13日

查看全文
  • Roman Stocker,
  • Michael T. Hirschmann,
  • Matthias Koch

摘要

Distal femoral osteotomy (DFO) is a joint-preserving surgical procedure used to correct malalignment of the lower limbs, particularly in younger active patients with unicompartmental knee osteoarthritis. The goal is to achieve biomechanical offloading of the affected femorotibial compartment in order to slow the progression of osteoarthritis and delay the need for knee arthroplasty.

Accurate diagnostics, including clinical examination, full-length weight-bearing radiographs, magnetic resonance imaging (MRI) and, if necessary, computed tomography (CT) and arthroscopy, are essential for a correct interpretation of the indications and surgical planning. The axis correction is based on an individualized deformity analysis using a digital planning software. Depending on the type of deformity and leg length, DFO can be performed using either an open-wedge or closed-wedge technique.

Modern angle stable implants provide reliable fixation of the osteotomy. Postoperative rehabilitation begins early with functional partial weight-bearing and physiotherapy. In the long term, DFO demonstrates favorable clinical outcomes, with high patient satisfaction and a survival rate without conversion to a prosthesis of 70–90% after 10 years.