Medial Biplanar Closing-Wedge Distal Femoral Osteotomy Using an Articulated Tensioning Device for Controlled Osteotomy Closure

Isolated lateral compartment arthritis or focal chondral defects in the setting of genu valgum young, active individuals can be treated with a varus-producing distal femoral osteotomy without cartilage treatment. Both medial closing-wedge and opening-wedge techniques have been described, neither demonstrating clear superiority. The objective this Technical Note is to describe technique biplanar controlled reduction using an articulated tensioning device achieve safe, reproducible result.