PMID- 34870725 OWN - NLM STAT- MEDLINE DCOM- 20220407 LR - 20220407 IS - 1439-0981 (Electronic) IS - 0934-6694 (Linking) VI - 34 IP - 2 DP - 2022 Apr TI - [Extension osteotomy of the lateral distal femur using the contralateral TomoFix(R) plate]. PG - 141-152 LID - 10.1007/s00064-021-00740-9 [doi] AB - OBJECTIVE: Supracondylar distal femoral osteotomy. Fixation with the contralateral TomoFix(R) (Fa. DePuy Synthes, Oberdorf, Switzerland) lateral distal femur plate. Use of the laterally reversed plate to improve the reconstruction of the sagittal anatomical axis of the leg. INDICATIONS: To correct knee flexion contractures with a deficiency of extension >20 degrees at the age of 10 years. CONTRAINDICATIONS: Surgical site infections or tumors. SURGICAL TECHNIQUE: Ventral closed wedge osteotomy of the distal femur. Implantation of the locking compression TomoFix(R) lateral distal femur plate. POSTOPERATIVE MANAGEMENT: Full weight bearing. RESULTS: In all, 16 distal femoral osteotomies were performed in 9 patients. All patients had knee flexion contraction due to neurological disease. Patients with cerebral palsy showed a better GMFCS (gross motor function classification scale) level after surgery. Hardware was removed after 11.5 months (range: 9-18 months). CI - (c) 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature. FAU - Ploeger, Milena M AU - Ploeger MM AD - Klinik und Poliklinik fur Orthopadie und Unfallchirurgie, Universitatsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. Milena.ploeger@ukbonn.de. FAU - Gathen, Martin AU - Gathen M AD - Klinik und Poliklinik fur Orthopadie und Unfallchirurgie, Universitatsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. FAU - Koob, Sebastian AU - Koob S AD - Klinik und Poliklinik fur Orthopadie und Unfallchirurgie, Universitatsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. FAU - Wimmer, Matthias D AU - Wimmer MD AD - Klinik und Poliklinik fur Orthopadie und Unfallchirurgie, Universitatsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. FAU - Placzek, Richard AU - Placzek R AD - Klinik und Poliklinik fur Orthopadie und Unfallchirurgie, Universitatsklinikum Bonn, Venusberg-Campus 1, 53127, Bonn, Deutschland. LA - ger PT - Journal Article PT - Review TT - Laterale distale femorale Extensionsosteotomie mit der kontralateralen TomoFix(R)-Platte. DEP - 20211206 PL - Germany TA - Oper Orthop Traumatol JT - Operative Orthopadie und Traumatologie JID - 9604937 SB - IM MH - Bone Plates MH - Child MH - *Femur/surgery MH - Humans MH - Knee Joint/surgery MH - *Osteotomy MH - Treatment Outcome OTO - NOTNLM OT - Femoral extension osteotomy OT - Femur plate OT - Knee flexion contractions OT - Neurological diseases OT - Supracondylar femoral osteotomy EDAT- 2021/12/07 06:00 MHDA- 2022/04/08 06:00 CRDT- 2021/12/06 12:27 PHST- 2019/12/07 00:00 [received] PHST- 2020/11/09 00:00 [accepted] PHST- 2020/09/13 00:00 [revised] PHST- 2021/12/07 06:00 [pubmed] PHST- 2022/04/08 06:00 [medline] PHST- 2021/12/06 12:27 [entrez] AID - 10.1007/s00064-021-00740-9 [pii] AID - 10.1007/s00064-021-00740-9 [doi] PST - ppublish SO - Oper Orthop Traumatol. 2022 Apr;34(2):141-152. doi: 10.1007/s00064-021-00740-9. Epub 2021 Dec 6.