The Role of Osteotomy in Chronic Valgus Instability and Hyperextension Valgus Thrust (Medial Closing Wedge Distal Femoral Varus Osteotomy and Lateral Opening Wedge High Tibial Osteotomy)

Authors

Philip P. Roessler, The University of Western Ontario
Alan Getgood, The University of Western Ontario

Document Type

Article

Publication Date

7-1-2019

Journal

Clinics in Sports Medicine

Volume

38

Issue

3

First Page

435

Last Page

449

URL with Digital Object Identifier

10.1016/j.csm.2019.02.012

Abstract

© 2019 Elsevier Inc. Chronic valgus instability with concomitant valgus malalignment is a challenging diagnosis that cannot be successfully treated with ligament surgery alone. Hyperextension valgus thrust may be a symptom of this configuration, expressing the need for thorough diagnosis and treatment. The present article will help to understand pathoanatomy and mechanisms of chronic valgus instability in combination with malalignment and provide a description of treatment techniques, in particular medial closing wedge distal femoral varus osteotomy (MCWDFVO)and lateral opening wedge high tibial osteotomy (LOWHTO), and their indications to deal with both issues simultaneously.