1. Case Presentation Osteotomy
S. Hofmann & O. Djahani
General and Orthopaedic Hospital Stolzalpe

2. Case Severe Valgus W.K. 19 y Mentally retarded Not sportive
Right Previous Femur#
Left Valgus 38° developed during growth
Limited walking distance & progressive instability

3. Gait pattern

4. Planning
LDFA 75°
MPTA 107°
JLCA: 6°
M-JL 89°

5. Case Challenge Planning What to offer patient Type of osteotomy
Type of fixation
LDFA 75°
MPTA 107°
JLCA: 6°
M-JL 89°

6. Planning double level osteotomy

7. Planning Tibia Medial closed wedge Correction angle 20° Wedge 21mm
Osteo length 62 mm

8. Planning Femur Lateral open wedge Correction angle 16° Wedge 18mm
Valgus 4° Cave: JLCA
ML/GL 89°

9. Outcome First medial closed tibia
Then lateral open femur bone wedge for graft
6 weeks partial WB Radiographic conrol & progressive full WB
Good function after 3 mo