2021 Annual Meeting Knee Access Pass-Valgus Deformity in a 32-Year-Old Male: Do I Correct on The Femur or Tibia?

Valgus Deformity in a 32-Year-Old Male: Do I Correct on The Femur or Tibia?

Video Transcription

Video Summary

The presenter discusses a 32-year-old male with valgus knee alignment and symptomatic lateral compartment degeneration. Imaging shows articular cartilage damage and lateral overload. Treatment options include distal femoral osteotomies (DFO) for larger corrections (>10-12°), with medial closing or lateral opening wedge techniques, noted for stability but higher reoperation rates. Proximal tibial osteotomies suit smaller corrections (<8-12°), offering unloading through the full knee arc, beneficial in tibial deformities or post-traumatic cases. Joint line obliquity and ligament stability must be considered. The presenter treated the case with a lateral opening wedge osteotomy, resulting in pain improvement and healed alignment.

Asset Caption

Dr. Jeffrey Macalena

Keywords

valgus knee alignment

lateral compartment degeneration

distal femoral osteotomy

proximal tibial osteotomy

lateral opening wedge osteotomy