{"id":1480,"date":"2026-03-12T14:13:03","date_gmt":"2026-03-12T14:13:03","guid":{"rendered":"https:\/\/orthopro.mx\/?p=1480"},"modified":"2026-03-12T14:13:06","modified_gmt":"2026-03-12T14:13:06","slug":"cirugia-de-realineacion-femoral","status":"publish","type":"post","link":"https:\/\/orthopro.mx\/es\/femoral-realignment-surgery\/","title":{"rendered":"Placas para osteotom\u00eda femoral distal medial frente a lateral: lo que los distribuidores realmente necesitan saber"},"content":{"rendered":"

If you are a medical device distributor or an agent working with orthopedic surgeons, you\u2019ve probably had this conversation. A surgeon calls you up, they\u2019ve got a patient with a nasty valgus deformity (basically, knock-knees), and they are debating the surgical approach. They ask you: \u201cShould I go with a medial opening wedge or a lateral closing wedge?\u201d<\/p>\n\n\n\n

Your answer matters. It\u2019s not just about selling a piece of metal; it\u2019s about understanding the clinical nuances of cirug\u00eda de realineaci\u00f3n femoral<\/strong>. If you provide the wrong plate or don\u2019t understand why a surgeon might prefer the distal lateral femoral plate<\/strong> over an MDFO plate, you lose credibility.<\/p>\n\n\n\n

I\u2019ve spent years looking at these cases, and honestly, the \u201cmedial vs. lateral\u201d debate is one of the most misunderstood areas in trauma and limb reconstruction. Let\u2019s break it down in plain English, skip the marketing fluff, and get into the real clinical criteria.<\/p>\n\n\n\n

What Are We Trying to Fix? The Basics of Realignment<\/h2>\n\n\n\n

Before we look at the hardware, we have to look at the bone. Most distal femoral osteotomies are done to treat a valgus deformity. When the femur angles inward, the weight-bearing axis of the leg shifts to the lateral (outer) compartment of the knee. Over time, this grinds down the cartilage, leading to arthritis.<\/p>\n\n\n\n

The goal of cirug\u00eda de realineaci\u00f3n femoral<\/strong> is to shift that weight back to the center or slightly to the medial (inner) side.<\/p>\n\n\n\n

There are two main ways to do this:<\/p>\n\n\n\n

    \n
  1. Medial Opening Wedge Osteotomy:<\/strong>\u00a0You cut the bone on the inside (medial) and pry it open. You need an MDFO plate to hold that gap.<\/li>\n\n\n\n
  2. Lateral Closing Wedge Osteotomy:<\/strong>\u00a0You cut a wedge of bone out from the outside (lateral) and zip it shut. You usually use a lateral plate for this.<\/li>\n<\/ol>\n\n\n\n

    MDFO vs DFO: The Medial Approach<\/h2>\n\n\n\n

    El Distal Medial Femoral Osteotomy Locking Plate<\/a> (MDFO) is the go-to for opening wedge procedures. At OrthoPro<\/strong>, we\u2019ve seen a massive shift toward this approach in the last decade.<\/p>\n\n\n\n

    Why Surgeons Like the Medial Opening Wedge<\/h3>\n\n\n\n

    La mayor\u00eda de los cirujanos prefieren esto porque solo es necesario realizar un corte. No es necesario calcular y extraer una cu\u00f1a de hueso precisa, lo cual es sinceramente m\u00e1s dif\u00edcil de lo que parece. Simplemente se abre el corte hasta que la pierna se vea recta en la radiograf\u00eda.<\/p>\n\n\n\n

    Indicaciones clave para las placas mediales:<\/strong><\/p>\n\n\n\n