medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2007, Number 3

<< Back Next >>

Acta Ortop Mex 2007; 21 (3)

Proximal tibial valgus osteotomy semi-invasive technique. A report on 66 cases

González MC, Moscoso LL, Magaña GI, Mejía VG, López SJR

Language: Spanish
References: 16
Page: 114-120
PDF size: 207.43 Kb.


ABSTRACT

The purpose of the present study is to report sixty six high tibial lateral osteotomies (HTO) make on patients with osteoarthrosis of the medial compartment, using modified semi invasive technique. With this technique the incision is 5-6 mm, fibular head is not resect, biceps femoris tendon is not cut, no internal fixation is place; the median follow-up was 6.4 years. The status of the patient at the final follow-up was analyzed using Knee Society Score (KSS), and Visual Analogue Scale (VAS). An average of 85 points was achieved after HTO compared to 55 points preoperative and 83 points after HTO compared to 51 points preoperative, was obtained at the evaluation with KSS. The only complication was superficial infections (4%). Serious complications did not appear. There was not pseudoarthrosis.


REFERENCES

  1. Insall JN, Dorr LD, Scott RWN: Rational of the Knee Society Clinical rating system. Clin Orthop 1989; 284: 13-4.

  2. Coventry MB: Osteotomy of the upper portion of the tibia for degenerative arthritis of the Knee: a preliminary report. J Bone Joint Surg Am 1965; 47: 984.

  3. Coventry MB: The effect of axial alignment of the lower extremity on articular cartilage of the knee. In Articular Cartilage and Knee Joint Function: Basic Science and Arthroscopy, pp. 311-317. Edited by J.W. Ewing. New York, Raven Press, 1990.

  4. Coventry MB: Valgus osteotomy of the upper tibia. Tech Orthop 1989; 4: 35-40.

  5. Hoffmann AA, Wyatt RWB: High tibial osteotomy. Clin Orthop and Rel Res 1991; 271: 212-5.

  6. Craig MM, Jeff S. Dome tibial osteotomy. Techniques in Knee Surgery 2005; 4(1): 47-54.

  7. Cristiani-Diaz G, Delgado BHA: Osteotomía Tibial valguizante de ángulo abierto en rodilla vara, técnica de hemicallotaxis. Rev Mex Ortop Traum 2002; 16(1): 1-3.

  8. Insall JN, Joseph DM, Msika C: High tibial osteotomy for varus gonarthrosis. A long term follow-up study. J Bone and Joint Surg 1984; 66-A: 1040-8.

  9. Moseley JB, O´Malley K, Petersen NJ, et al: A controlled trial of arthroscopic surgery for osteoarthritis of the Knee. N Engl J Med 2002; 347: 81-8.

  10. Nagel A, Insall JN, Scuderi GR: Proximal tibial osteotomy. A subjective outcome study. J Bone and Joint Surg 1996; 78-A: 1353-8.

  11. Jackson JP, Waugh W: Tibial osteotomy for osteoarthritis of the knee. J Bone and Joint Surg 1961; 43-B(4): 746-51.

  12. Kettelkamp DB, Wenger DR, Chao EYS et al: Results of proximal tibial osteotomy: the effects of tibiofemoral angle, stance-phase flexion-extension, and medial plateau force. J Bone Joint Surg Am 1976; 58: 952.

  13. Takeshi K, Masatoshi N, Michiya H: The influences of biomechanical factors on cartilage regeneration after tibial osteotomy for knees with medial compartment osteoarthritis. Arthroscopy: The Journal of Arthroscopy and Related Surgery, 2002; 18(7): 725-9.

  14. Weale AE, Lee AS, MacEachern AG: High tibial osteotomy using a dynamic external fixator. Clin Orthop Rel Res 2001; 382: 154-67.

  15. Stephen B, Murphy B: Tibial osteotomy for genu varum. Orthop Clin North Am 1994; 25: 477-82.

  16. Naudie D, Bourne B, Rorabeck CH, Bourne TJ: Survivorship of the high tibial valgus osteotomy. Clin Orthop 1999; 367: 18-27.




2020     |     www.medigraphic.com