Abstract
In the past two decades, the insights in the causes and development of valgus leg
deformities as well as the options for treatment with corrective osteotomies have
dramatically changed. New definitions for deformity analysis and planning for corrections
have better defined the patients suitable for femoral valgus deformity corrections.
Biomechanical research on new osteotomy methods and stability of plate fixation have
provided scientific background for the development of improved surgical techniques
that are more accurate, safer, and provide for quicker rehabilitation and bone healing.
This article provides an overview of the basic principles behind the correction of
femoral valgus deformity. Both the analysis and planning of femoral valgus deformity
correction as well as the results of systematic clinical reviews are provided. The
current recommended surgical technique of biplanar medial closing-wedge supracondylar
osteotomy is explained, and the first clinical results are reported. Finally, the
authors describe some of the future directions and needs for treatment optimization
of patients with femoral valgus deformity.
Keywords
closing-wedge osteotomy - supracondylar osteotomy - valgus leg correction
