González MC, Herrera HVM, Moscoso LL, López TDJ

Language: Spanish
References: 21
Page: 104-108
PDF size: 70.01 Kb.

ABSTRACT

Forty two Coventry high tibial osteotomies (HTO) using conventional staples and cast immobilization make in patients with osteoarthrosis of the medial compartment of the knee, were compared to forty five using cast immobilization alone without staple and neither internal fixation; the median follow-up was 7.2 years. The data was subjected to student’s test. At the final follow-up examination, in the group of the forty two osteotomies with staple and cast, thirty two knees (76%) improved and pain at rest was absent and mild to walking long distances (VAS). In the group of the forty five osteotomies with cast immobilization alone, thirty five knees (78%) were pain relief at rest and mild to walking long distances (VAS). These results suggest that high HTO can be performed without using Coventry staple and neither other internal fixation.

REFERENCES

1. Insall JN, Joseph OM, Msika C: High tibial osteotomy for varus gonarthrosis. A long term follow-up study. J Bone Joint Surg 1984; 66 (7): 1040-1048.

2. McAllister CM, Stepanian J: Dome tibial osteotomy. Techniques in Knee Surgery 2005; 4(1): 47-54.

3. 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: 984-990.

4. Coventry MB: Osteotomy about the knee for degenerative and rheumatoid arthritis: J Bone Joint Surg Am 1973; 55(1): 23-48.

5. Hofmann AA, Wyatt RW, Beck SW: High tibial osteotomy. Clin Orthop Rel Res 1991; 271: 212-217.

6. Coventry MB: Upper tibial osteotomy for gonarthrosis. Orthop Clin North Am 1979; 10(1): 191.

7. Coventry MB, Bowman PW: Long-term results of upper tibia osteotomy for degenerative arthritis of the knee. Acta Orthop Belgica 1982; 48(1): 139-156.

8. Coventry MB: Upper tibial osteotomy. Clin Orthop 1984; 182: 46.

9. Coventry MB: Upper tibial osteotomy. Current concept review. Upper tibia osteotomy for osteoarthritis. J Bone Joint Surg 1985; 67-A: 1136-1140.

10. Kettelkamp DB, Wenger DR, Chao EY, 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(7): 952-960.

11. Cristiani-Díaz G, Delgado BH: Osteotomía tibial valguizante de ángulo abierto en rodilla vara, técnica de hemicallotaxis. Rev Mex Ortop Traum 2002; 16(1): 1-3.

12. Nagel A, Insall JN, Scuderi GR: Proximal tibial osteotomy. A subjective outcome study. J Bone Joint Surg 1996; 78(6)-A: 1353-1358.

13. Kanamiya T, Naito M, Hara M, Yoshimura I: The influences of biomechanical factors on cartilage regeneration after tibial osteotomy for knees with medial compartment osteoarthritis. Arthroscopy 2002; 18(7): 725-729.

14. Wardle EN: Displacement osteotomy of the tibia and fibula. Surg Gynecol Obstet 1962; 115: 61.

15. Weale AE, Lee AS, MacEachern AG: High tibial osteotomy using a dynamic external fixator. Clin Orhop Rel Res 2001; (382): 154-167.

16. Coventry MB: Upper tibial osteotomy for osteoarthritis. J Bone Joint Surg Br 1985;67(7): 1136-1140.

17. Jackson JP, Waugh W: Tibial osteotomy for osteoarthritis of the Knee. J Bone Joint Surg 1961; 43-B(4): 746-751.

18. Coventry MB: In Cooper P: Craft of surgery, ed 2, Boston, 1970, Little, Brown & Cp.

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

20. Coventry MB: The effect of axial alignment of the lower extremity on articular cartilage of the knee. In: JW Ewing, Edited. Articular cartilage and knee joint function: Basic science and arthroscopy. New York, Raven Press, 1990: 311-317.

21. 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(2): 81-88.