Dome-shaped proximal tibial osteotomy using percutaneous drilling  for osteoarthritis of the knee

Takahashi, Toshiaki; Wada, Yasuhiro; Tanaka, M.; Iwagawa, Motoyuki; Ikeuchi, Masahiko; Hirose, Daisuke; Yamamoto, Haruyasu

doi:10.1007/pl00021239

Cited by 35 publications

(21 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…2,5,47 In the literature, the rate of infection after a medial opening wedge high tibial osteotomy varies from 2.3% to 54.5%. 15,46,51 In the Puddu group in Spahn's study, 43 deep infections occurred only when bone substitutes were used to fill the osteotomy space. No infections were observed in patients treated with a Puddu plate and a bone plasty with iliac crest donor bone.…”

Section: Discussionmentioning

confidence: 97%

Early Complications After High Tibial Osteotomy –A Comparison of Two Techniques

Bekerom

Patt

Kleinhout³

et al. 2010

J Knee Surg

View full text Add to dashboard Cite

This prospective cohort study compared opening wedge high tibial osteotomy with use of the Puddu plate and the Vitoss synthetic cancellous bone versus closing wedge high tibial osteotomy with use of the AO/ASIF L-plate, focusing on complications (nonunions, infections, loss of correction, reoperations) and patient satisfaction (visual linear analog scale). During a 10-month period, we performed high tibial osteotomy for 40 patients experiencing medial knee osteoarthritis and a varus deformity. The average follow-up was 11 months. The complication rate in patients treated with the opening wedge technique was significantly higher regarding tibial nonunion, loss of correction, and material failure. Patients in the closing wedge group were more satisfied with the postoperative result. This study found that the Puddu plate, despite 6 weeks of nonweight bearing facilitating the osseous consolidation with Vitoss cement, was not able to maintain the correction during the time required for bone healing. [J Knee Surg. 2008;21:68-74.]

show abstract

Section: Discussionmentioning

confidence: 97%

Early Complications After High Tibial Osteotomy –A Comparison of Two Techniques

Bekerom

Patt

Kleinhout³

et al. 2010

J Knee Surg

View full text Add to dashboard Cite

show abstract

“…[15] Among the various methods of surgery, dome-shaped osteotomy provides good results through precise angular correction. [16] Therefore, this study examines the results of dome-shaped osteotomy surgery for genu varum correction.…”

Section: Discussionmentioning

confidence: 99%

Untitled

Narimani

2017

AJP

View full text Add to dashboard Cite

Introduction: The proximal tibial osteotomy is an accepted and commonly used treatment for younger and active patients with medial unicompartmental osteoarthritis of the knee and varus deformity. The aim of this study was to assess the treatment outcomes of dome-shaped proximal tibial osteotomy in patients with genu varum. Materials and Methods: In this prospective study, dome-shaped osteotomy was performed in 23 patients (14 males and 9 females) with genu varus deformity that referred to Razi Hospital in Ahvaz in 2016. Patients were followed for 6 months after surgery and were assessed in terms of Modified Hospital for Special Surgery Knee Scoring System (HSSKS), tibiafemoral angle, Insall-Salvati index, and complications. Results: The mean tibiofemoral angle changed from 16.6 ± 5.01 varus to 6.9 ± 1.48 valgus degrees (P < 0.001). The mean modified HSSKS promoted from 73.3 ± 3.01 to 82.3 ± 1.45 (P < 0.001). Furthermore, there was no significant difference in the range of motion and quadriceps strength. Insall-Salvati index was not different significantly after domeshaped osteotomy, and the mean patellar height index changed from 1.054 ± 0.07 to 1.057 ± 0.08 (P = 0.774). The incidence of complication after dome-shaped osteotomy was one case (4.34%) of non-union. Conclusion: Results of this study demonstrated that dome-shaped osteotomy of proximal tibial is a simple, safe, and useful treatment which has favorable results in patients with genu varum.

show abstract

“…Several surgical tools have been developed for corrective osteotomies, however, they are mainly focusing on the proximal tibia and femur [16][17][18][19], and scarcely over the humeral supracondyle. Application of computer assisted preoperative planning has been started for decades, and thorough discussions have been reported in other literatures [20][21][22].…”

Section: Discussionmentioning

confidence: 99%