2013, Number 5
<< Back Next >>
AMC 2013; 17 (5)
Arthroscopy combined with openw edge high tibial osteotomy in a patient with osteoarthritis of the knee: a case report
Álvarez LA, Ortega GC, García LY, Puente ÁA
Language: Spanish
References: 20
Page: 590-598
PDF size: 108.54 Kb.
ABSTRACT
Background: Knee osteoarthritis of the medial compartment is usually associated to
varus deformity, and the patients will need a combination of different surgical
procedures for treatment. One of the most common combinations in the same surgical
time is: arthroscopy and osteotomy.
Objective: to show the combination of arthroscopy and high open wedge medial
osteotomy of the tibia in patients with the diagnosis of osteoarthritis of the knee.
Case report: A 56 year old male, white patient was admitted to the department of
Orthopedics and Traumatology at Manuel Ascunce provincial teaching hospital in
Camaguey city, because of osteoarthritis of the left knee affecting predominantly the
medial tibiofemoral compartment. At the same surgical time, an arthroscopy was
carried out to perform a partial meniscectomy and microfracture of the medial condyle,
later a high open wedge medial osteotomy of the knee was performed.
Conclusions: the combination of arthroscopy and osteotomy, let to treat lesion inside
the joint and correct angular deformities of the limb at the same time. These
techniques can be done together without a long surgical time.
REFERENCES
Esenkaya I, Unay K, Akan K. Proximal tibial osteotomies for the medial compartment arthrosis of the knee: a historical journey. Strategies Trauma Limb Reconstr. 2012 Apr;7(1):1321.
Álvarez López A, Casanova Morote C, García Lorenzo Y. Tratamiento quirúrgico de la osteoartritis de rodilla. Rev Cubana Ortop y Traumatol. 2004 Ene;18(Supl 1):4553.
Álvarez López A, García Lorenzo Y, García Lorenzo M, Gutierrez blanco M. Osteoartritis unicompartimental de la rodilla: enfoque actual. AMC[Internet]. 2011 EneFeb [citado 5 feb 2011];15(1):[aprox. 11 p.]. Disponible en: http://www.revistaamc.sld.cu/index.php/amc
ElAzab HM, Morgenstern M, Ahrens P, Schuster T, Imhoff AB, Lorenz SG. Limb alignment after openwedge high tibial osteotomy and its effect on the clinical outcome. Orthopedics. 2011 Oct;34(10):e6228.
Niemeyer P, Schmal H, Hauschild O, von Heyden J, Südkamp NP, Köstler W. Openwedge osteotomy using an internal plate fixator in patients with medialcompartment gonarthritis and varusmalalignment: 3year results with regard to preoperative arthroscopic and radiographic findings. Arthroscopy. 2010 Dec;26(12):160716.
Lo WN, Cheung KW, Yung SH, Chiu KH. Arthroscopyassisted computer navigation in high tibial osteotomy for varus knee deformity. J OrthopSurg (Hong Kong). 2009 Apr;17(1):515.
Han SB, Lee DH, Shetty GM, Chae DJ, Song JG, Nha KW. A "safe zone" in medial openwedge high tibia osteotomy to prevent lateral cortex fracture. Knee Surg SportsTraumatolArthrosc. 2013 Jan;21(1):905.
Iorio R, Pagnottelli M, Vadalà A, Giannetti S, Di Sette P, Papandrea P, et al. Openwedge high tibial osteotomy: comparison between manual and computerassistedtechniques. Knee Surg Sports TraumatolArthrosc. 2013 Jan;21(1):1139.
Ganji R, Omidvar M, Izadfar A, Alavinia SM. Opening wedge high tibial osteotomy using tibial wedge allograft: a case series study. Eur J OrthopSurgTraumatol. 2013 Jan;23(1):1114.
Outerbridge RE. The etiology of chondromalacia patellae. J Bone Joint Surg Br. 1961 Nov;43:7527.
Floerkemeier S, Staubli AE, Schroeter S, Goldhahn S, Lobenhoffer P. Outcome after high tibial openwedge osteotomy: a retrospective evaluation of 533 patients. Knee Surg Sports TraumatolArthrosc. 2013 Jan;21(1):17080.
Gaasbeek RD, Nicolaas L, Rijnberg WJ, van Loon CJ, van Kampen A. Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A oneyear randomised controlled study. IntOrthop. 2010 Feb;34(2):2017.
Ribeiro CH, Severino NR, CuryRde P, de Oliveira VM, Avakian R, Ayhara T, et al. A new fixation material for openwedge tibial osteotomy for genu varum. Knee. 2009 Oct;16(5):36670.
Álvarez López A, García Lorenzo Y, Puente Álvarez A. Microfracturas por vía artroscópica en pacientes con artrosis de la rodilla. Rev Cubana Ortop y Traumatol. 2011 AgoDic;25( 2):18898.
Asik M, Ciftci F, Sen C, Erdil M, Atalar A. The microfracture technique for the treatment of fullthickness articular cartilage lesions of the knee: midterm results.Arthroscopy. 2008 Nov;24(11):121420
Staubli AE, Jacob HA. Evolution of openwedge hightibial osteotomy: experience with a special angular stable device for internal fixation without interposition material. IntOrthop. 2010 Feb;34(2):16772.
Lustig S, Scholes CJ, Costa AJ, Coolican MJ, Parker DA. Different changes in slope between the medial and lateral tibial plateau after openwedge high tibial osteotomy. Knee Surg Sports TraumatolArthrosc. 2013 Jan;21(1):328.
Wang JH, Bae JH, Lim HC, Shon WY, Kim CW, Cho JW. Medial open wedge high tibial osteotomy: the effect of the cortical hinge on posterior tibial slope. Am J Sports Med. 2009 Dec;37(12):24118.
Pongsoipetch B, Tantikul C. Openwedge high tibial osteotomy in varus knee osteoarthritis: a 5year prospective cohort study. J Med Assoc Thai. 2009 Dec;92 Suppl 6:S10914.
Ozalay M, Sahin O, Akpinar S, Ozkoc G, Cinar M, Cesur N. Remodeling potentials of biphasic calcium phosphate granules in open wedge high tibial osteotomy. Arch Orthop Trauma Surg. 2009 Jun;129(6):74752.