[Ortho] adult genu valgum

[Dr Neeraj Bijlani]

hello sirs,
 
he is a 21 year old male short heighted thin built with failed
conservative treatment tried for ? post rcketic deformity in
childhood and teenage with bilateral genu valgum with intermalleolar
distance 14cm and no flat foot, the deformity is in the femur as it
fully corrects on flexion of the knee his main complaint is that his
knee knocks while walking and  pain in both knees while walking

my question here is 
1. which correction is more reliable a medial closed wedge or a
lateral opening wedge osteotomy with bone graft 
 
2. if medial then what implant and if lateral then what implant?
 
please advice
 
my plan is to do a lateral opening wedge osteotomy with bone graft
but i am a little confused about the implant (lower end femur locking
plate or some other implant)  
 
 
Dr Neeraj Bijlani
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