Current Reviews in Musculoskeletal Medicine

, Volume 7, Issue 4, pp 302–311 | Cite as

Distal femoral osteotomy

  • Federica Rosso
  • Fabrizio Margheritini
Modern Techniques in Lower Limb Realignment (DE Bonasia and P Phisitkul, Section Editors)


Osteotomies around the knee are well-recognized treatments for unloading the affected compartment in cases of lower limb malalignment. There are few papers in the literature describing the outcomes of distal femoral osteotomy (DFO), as compared with the studies reporting on high tibial osteotomy (HTO), probably because valgus malalignment is less common than the varus one. There is still debate as to what the correct indication is and which surgical techniques lead to the best outcomes in performing a DFO. Besides, it is still controversial whether patellofemoral arthritis should be considered as a contraindication to performing a DFO, as well as in HTO. In this article, we will summarize the indications for DFO, the surgical techniques reported in the literature, and their outcomes.


Knee deformity Malalignment Valgus knee Distal femoral osteotomy 


Conflict of interest

Federica Rosso declares that she has no conflict of interest.

Fabrizio Margheritini declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

No human or animal studies performed by the authors

This article does not contain any studies with human or animal subjects performed by any of the authors.

Human studies done by authors (but no animal studies)

This article does not contain any studies with animal subjects performed by any of the authors. With regard to the authors’ research cited in this paper, all procedures were followed in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000 and 2008.

Animal studies done by authors (but no human studies)

This article does not contain any studies with human subjects performed by any of the authors.

With regard to the authors’ research cited in this paper, all institutional and national guidelines for the care and use of laboratory animals were followed.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.University of Study of TorinoTorinoItaly
  2. 2.Department of Health Science, Unit of Orthopaedic and Sports TraumatologyUniversity of Rome “Foro Italico”RomeItaly

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