1. Allgemeines und Orthopädisches LKH Stolzalpe
Case Challenge
S. Hofmann
Allgemeines und Orthopädisches LKH Stolzalpe

2. Case Challenge Male 37 years 73 kg, 170 cm Medial pain 5 years
Heavy worker
Conservative failed
Good ROM & stable knee
No surgery before

3. Varus 8°
LDFA 93°
MPTA 85°
M-JL 90°
Planning

4. Case Challenge Additional planning Type of osteotomy Type of fixation
Can back to heavy work

5. Planning Tibia open wedge Valgus 3° M-JL 95,4°
Femur lat closed wedge Valgus 3° M-JL 82°

6. Planning Double osteotomy Valgus 3° Wedge Femur 6 mm Wedge Tibia 6 mm
M-JL 88°

7. Outcome Scope & deg meniscus Microfracture
Biplanar osteotomy angular stable plates Closed Wedge Femur Open Wedge Tibia bone graft from tibia
Normal anatomy
Excellent results
Outcome