Combined Intra-Articular and Varus Opening Wedge Osteotomy for Lateral Depression and Valgus Malunion of the Proximal Part of the Tibia

Kerkhoffs, Gino M. M. J.; Rademakers, Maarten V.; Altena, Mark; Marti, René K

doi:10.2106/jbjs.d.01816

Cited by 43 publications

(45 citation statements)

References 11 publications

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“…It is indicated to treat a valgus malunion of the metaphysis [5,18,24] but may not adequately compensate for severe depression of the lateral tibial plateau. Kerkoffs et al [13] recently published a technique combining osteotomies of the tibial metaphysis and articular surface to correct and unload malunions of the lateral compartment. This technique may be useful in preventing the development of posttraumatic arthritis or preventing its progressing in mild cases but is contraindicated in cases of severe osteoarthritis [13] such as those in our series.…”

Section: Discussionmentioning

confidence: 99%

“…These osteotomies result in relief of pain in 77% to 91% of patients [4,5,18] and restoration of function in 72% to 88% at 9.4 to 11.2 years [4,5,18]. In severe cases, it can be difficult, if not impossible, to correct a large intraarticular defect through an extra-articular procedure [13]. When there is full loss of cartilage in the affected compartment, osteotomy is usually no longer considered.…”

Section: Introductionmentioning

confidence: 99%

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Lateral Unicompartmental Knee Arthroplasty Relieves Pain and Improves Function in Posttraumatic Osteoarthritis

Lustig

Parratte

Magnussen

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Posttraumatic arthritis secondary to lateral tibial plateau fracture malunion causes pain and limited function for patients. It is sometimes technically challenging to correct malalignment in these patients with advanced arthritis using osteotomies. Lateral unicompartmental knee arthroplasty (UKA) may be an option to treat such patients. Questions/purposes We asked whether UKA for lateral posttraumatic osteoarthritis (1) reliably alleviates pain and improve function, (2) restores lower limb alignment, and (3) is as durable as UKA for primary lateral osteoarthritis. Patients and Methods We retrospectively reviewed 13 patients with lateral cemented UKA (mean age at surgery, 50.1 years) treated at two institutions between 1985 and 2007. We obtained Knee Society scores and evaluated radiographs for evidence of implant loosening or progression of arthritis in the medial compartment. Minimum followup was 3 years (mean, 10.2 years; range, 3-22.1 years). Results Mean Knee Society knee score improved from 51 points (range, 29-75 points) preoperatively to 88 points (range, 65-100 points) at last followup, suggesting the procedure relieved pain. Mean function score improved from 51 points (range, 10-89 points) preoperatively to 87 points (range, 35-100 points) at last followup. The mean hip-knee-ankle angle was 188°preoperatively (range, 184°-1938) and 185°(range, 183°-188°) at last followup. Prosthesis survivorship was 100% at 5 and 10 years and 80% at 15 years.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Lateral Unicompartmental Knee Arthroplasty Relieves Pain and Improves Function in Posttraumatic Osteoarthritis

Lustig

Parratte

Magnussen

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…Lateral open-wedge high tibial osteotomies are rarely performed. There is a paucity reports regarding the use of a reconstructive osteotomy to treat depression and valgus malunions of the proximal tibia (Kerkhoffs et al, 2008). Barrel-vault (dome) osteotomies, lateral-closed-wedge, medial open-wedge high tibial osteotomies or a procedure that combines these techniques are used to treat varus deformities of the knee (Coventry, 1965;M Galla & Lobenhoffer, 2004;Hernigou et al 1987;Maquet, 1976;Nagi et al, 2007;Watanabe et al, 2008;Weber & Wörsdörfer, 1980).…”

Section: Surgical Techniquementioning

confidence: 99%

High Tibial Open-Wedge Osteotomy – New Techniques and Early Results

Kolb¹,

Guhlmann²,

Windisch³

et al. 2012

Osteoarthritis - Diagnosis, Treatment and Surgery

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“…The intra-articular osteotomy [2][3][4] can also be performed through the openingwedge tibial plateau osteotomy with a small bone distractor in situ. For this approach, including the elevation of the depressed lateral tibial plateau, it is helpful to create a small metaphyseal cortical window at the site of the tibial plateau osteotomy (Figs.…”

Section: Surgical Techniquementioning

confidence: 99%

“…The operation is completed with the impaction of wedged corticocancellous autograft bone into the open gap and internal fixation with an L or a T-plate [2][3][4] . After extending the approaches, the tibial plate is usually sufficient to be used to fix both the Gerdy tubercle and the proximal tibial varus osteotomy at the same time.…”

Section: Fig 7-gmentioning

confidence: 99%

Combined Intra-Articular and Varus Opening Wedge Osteotomy for Lateral Depression and Valgus Malunion of the Proximal Part of the Tibia

Kerkhoffs

Rademakers

Altena

et al. 2009

Journal of Bone and Joint Surgery

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General rightsIt is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulationsIf you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: http://uba.uva.nl/en/contact, or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. Download date: 11 May 2018The PDF of the article you requested follows this cover page. The original scientific article in which the surgical technique was presented was published in JBJS Vol. 90-A, pp. 1252-7, June 2008 DISCLOSURE: In support of their research for or preparation of this work, the authors received, in any one year, outside funding or grants in excess of $10,000 from the AO-ASIF Research Foundation. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. This is an enhanced PDF fromABSTRACT FROM THE ORIGINAL ARTICLE BACKGROUND: Reconstructive surgical measures for treatment of posttraumatic deformities of the lateral tibial plateau are seldom reported on in the literature. We report the long-term follow-up results of a consecutive series of reconstructive osteotomies performed to treat depression and valgus malunions of the proximal part of the tibia.

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Combined Intra-Articular and Varus Opening Wedge Osteotomy for Lateral Depression and Valgus Malunion of the Proximal Part of the Tibia

Abstract: A knee-joint-preserving osteotomy can provide satisfactory results in active patients with painful posttraumatic lateral depression and valgus malunion of the proximal part of the tibia.

Cited by 43 publications

References 11 publications

Lateral Unicompartmental Knee Arthroplasty Relieves Pain and Improves Function in Posttraumatic Osteoarthritis

Lateral Unicompartmental Knee Arthroplasty Relieves Pain and Improves Function in Posttraumatic Osteoarthritis

High Tibial Open-Wedge Osteotomy – New Techniques and Early Results

Combined Intra-Articular and Varus Opening Wedge Osteotomy for Lateral Depression and Valgus Malunion of the Proximal Part of the Tibia

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