Distal femoral wedge with a hinge is primarily suitable for correcting valgus malalignment and medial or lateral compartment overload in the knee, particularly in young, active individuals. This procedure is often performed to address conditions like lateral or medial distal femur condylar osteoarthritis, meniscal deficiency, or cartilage lesions in the medial or lateral distal femur condylar. It involves creating a wedge shaped bone cut on the medial or lateral side of the distal femur and closing the gap to realign the leg. The wedges are available in different sizes and thicknesses to accommodate various bone defects and provide customized solutions.