Osteotomies around the knee: patient selection, stability of fixation and bone healing in high tibial osteotomies.
نویسندگان
چکیده
New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixation stability and bone healing that has led to improved surgical techniques and a decrease of post-operative time to full weight-bearing.
منابع مشابه
Osteotomies around the knee
J Bone Joint Surg [Br] 2008;90-B:1548-57. New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixa...
متن کاملاستئوتومی گنبدی شکل بالای استخوان ساق جهت اصلاح ژنوواروم در افراد جوان
Background & Aim: Correction of pure, severe symptomatic geno-varum in young adults is mandatory. High(proximal) tibial osteotomy(HTO) is an accepted procedure for surgical correction of these deformities. In this retrospective survey, the long-term results of 27 osteotomies with a unique method of surgery are presented. Patients & Method: From 1981 to 2001, 27 valgus-producing high tibial ...
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Valgus high tibial osteotomy for osteoarthritis of the medial compartment of the knee can be performed using medial opening- and lateral closing-wedge techniques. The latter have been thought to offer greater initial stability. We measured and compared the stability of opening- and closing-wedge osteotomies fixed by TomoFix plates using radiostereometry in a series of 42 patients in a prospecti...
متن کاملA comparison of plate versus staple-and-cast fixation in maintaining femoral tibial alignment after valgus tibial osteotomy.
PURPOSE To compare 2 methods of fixation for maintenance of alignment during healing of valgus tibial osteotomies. METHODS We performed a retrospective chart and radiographic review of valgus tibial osteotomy cases of staple fixation supplemented by a postoperative cast and of blade plate fixation for maintenance of femoral-tibial alignment during healing of the osteotomy. RESULTS Both grou...
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BACKGROUND Bisphosphonates increase the callus size and strength in animal fracture studies. In a human non-randomized pilot study of high tibial osteotomies in knee osteoarthritis, using the hemicallotasis (HCO) technique, bisphosphonates shortened the healing time by 12 days. In the present randomized study, we wanted to determine whether a single infusion of zoledronic acid reduces the time ...
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ورودعنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 90 12 شماره
صفحات -
تاریخ انتشار 2008