Distal femoral osteotomy surgery is a procedure aimed at correcting deformities or misalignments in the lower part of the thigh bone (femur). This surgical intervention is commonly performed to treat conditions such as genu valgum (knock-knees) or genu varum (bow legs) in patients who have not responded to conservative treatments.
During the procedure, the surgeon makes an incision on the side of the knee to access the distal femur. Using specialised instruments, the surgeon carefully cuts the bone and realigns it into the desired position. In some cases, bone grafts or implants may be used to stabilise the bone. The incision is then closed with sutures, and a bandage or dressing is applied.
Before undergoing distal femoral osteotomy surgery, patients will typically undergo a series of pre-operative assessments, including physical examinations, imaging studies (such as X-rays or MRI scans), and blood tests. Dr Shales will provide specific instructions regarding fasting before surgery and any medications that need to be stopped prior to the procedure.
During your recovery period you will have a period of time where you will need to use crutches so preparing the home, arranging alternative travel and work commitments is recommended.
Following surgery, patients will be monitored closely in the recovery area before being transferred to a hospital room. Pain management medications will be administered as needed to keep the patient comfortable. Physiotherapy may begin shortly after surgery to promote mobility and strengthen the surrounding muscles.
Rehabilitation plays a crucial role in the recovery process following distal femoral osteotomy surgery. Physiotherapy exercises will be prescribed to improve range of motion, strength, and stability in the affected knee. Patients will gradually progress from assisted walking devices to walking independently as they regain strength and function.
As with any surgical procedure, distal femoral osteotomy surgery carries certain risks and potential complications. These may include infection, bleeding, blood clots, nerve or blood vessel injury, under or over-correction, and failure of the bone to heal properly. Your surgeon will discuss these risks with you in detail and take steps to minimise them during the surgical process.
The success of distal femoral osteotomy surgery depends on various factors, including the severity of the deformity, the patient's overall health, and adherence to post-operative rehabilitation protocols. Many patients experience significant improvements in pain, function, and quality of life following surgery, with the corrected alignment reducing stress on the knee joint.
Distal femoral osteotomy surgery is a valuable treatment option for patients with lower limb deformities that affect their mobility and quality of life. By correcting misalignments in the distal femur, this surgical procedure can help alleviate pain and improve function, allowing patients to return to their daily activities with greater comfort and confidence.
Here are a number of the questions we often get asked.
Recovery times vary depending on individual factors, but most patients can expect to return to light activities within a few weeks and resume more strenuous activities within several months.
Your surgeon may recommend wearing a brace or supportive device to protect the knee and aid in healing during the initial stages of recovery.
