Lateral Opening Wedge Osteotomy of the Distal Femur for Genu Valgum Master's Surgical Technique

Main Article Content

Smitha E. Mathew
Todd A. Milbrandt
Megan L. Young


Genu valgum is a risk factor for patellofemoral maltracking and recurrent instability and may cause mechanical overload of the lateral compartment leading to early arthritic changes in some patients. In skeletally mature adolescents, a varus-producing distal femoral osteotomy will correct the valgus malalignment when the femur contributes to the overall lower extremity deformity. The goal of a distal femoral osteotomy is to correct the lateral distal femur joint angle and restore a neutral mechanical axis through the center of the knee joint.  We aim to discuss the indications and contraindications, pros and cons, preoperative planning, osteotomy options, surgical techniques, and postoperative protocol for a distal femur corrective osteotomy.

Article Details

How to Cite
Mathew, S. E., Milbrandt, T., & Young, M. (2022). Lateral Opening Wedge Osteotomy of the Distal Femur for Genu Valgum : Master’s Surgical Technique. Journal of the Pediatric Orthopaedic Society of North America, 4(3).
Lower Extremity
Author Biographies

Todd A. Milbrandt

Professor of Orthopedics

Division Chair - Pediatric Orthopedics

Mayo Clinic

Rochester, MN

Megan L. Young

Assistant Professor, Orthopaedic Surgery,

Children's National Hospital and George Washington University School of Medicine

Washington, DC