High Tibial Osteotomy with a Calibrated Osteotomy Guide, Rigid Internal Fixation, and Early Motion

Billings, Annette; Scott, David F.; Camargo, Marcelo P.; Hofmann, Aaron A.

doi:10.2106/00004623-200001000-00009

Cited by 232 publications

(154 citation statements)

References 24 publications

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“…At the final follow-up examination, 93.2% of the patients had neither been converted to a knee arthroplasty nor complained of significant knee pain. The investigations of Naudie et al [20] and Billings et al [19] had the lowest ten-year survival rates of 51% and 53%, respectively. The probability of survival was reported to increase in patients who were younger than 50 years of age at the time of the HTO and who had preoperative knee flexion greater than 120 degrees [20].…”

Section: Outcomes For Malalignment With Osteoarthrosismentioning

confidence: 90%

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High tibial osteotomies in the young active patient

Wolcott

Traub

Efird

2010

International Orthopaedics (SICOT)

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Unicompartmental changes in the knee of a young athlete remains a difficult and controversial problem in orthopaedics. Excessive premature loading of articular cartilage, most often the result of a knee injury, has been shown to result in increased degenerative changes and pain in the younger patient. Instability may also contribute to the degeneration of cartilage and must therefore be considered in the treatment of osteoarthritis in the young adult. High tibial osteotomy has been described as a treatment option for malalignment in the older, less active adult and has shown promising results in a younger, more active population. Osteotomies for instability are more controversial and should be considered in more complex injury patterns.

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Section: Outcomes For Malalignment With Osteoarthrosismentioning

confidence: 90%

“…Ten-year survival rates range from 51% to 93.2%, with an average rate of 64% [4,[18][19][20]. The highest long-term survival rate for closing wedge osteotomy was reported by Koshino et al, who followed 75 knees up to 28 years postoperatively [21].…”

Section: Outcomes For Malalignment With Osteoarthrosismentioning

confidence: 99%

High tibial osteotomies in the young active patient

Wolcott

Traub

Efird

2010

International Orthopaedics (SICOT)

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“…This demonstrates that the use of Anthony plate associated to the calculation of the wedge by Dugdale's method reproduces the satisfactory results found in literature using other plates when we assess deformity correction. Tibial supra-tuberosity valgusing osteotomy is regarded as an useful therapeutic option for treating knee medial osteoarthrosis, providing pain relief and improved function in approximately 80-90% of the patients in five years, and 50 -65% in ten years of follow-up (14,15) . In order to assess clinical improvements, we selected the Lysholm score because it is a reproducible, validated and user-friendly instrument allowing for a subjective analysis of the patient.…”

Section: Discussionmentioning

confidence: 99%

Consolidação da osteotomia valgizante proximal da tíbia com cunha de abertura fixada com placa "calço" de Anthony®

et al. 2008

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OBJETIVO: Este estudo tem por finalidade verificar a consolidação da osteotomia valgizante da tíbia com cunha de abertura fixada com placa tipo calço de Anthony® (OVT), no tratamento da osteoartrose medial do joelho varo, a correção da deformidade e a resposta clínica ao tratamento cirúrgico. MÉTODOS: Vinte pacientes (vinte joelhos) com osteoartrose do compartimento medial do joelho, com idade média de 48,4 ± 9,9, foram avaliados por um período mínimo de um ano. Os pacientes foram submetidos a avaliação radiográfica da consolidação e do eixo mecânico no pré e pós operatório, além da avaliação dos critérios de LYSHOLM. RESULTADOS: A consolidação da osteotomia ocorreu após 12 semanas em 100% dos casos sem complicações. A avaliação do LYSHOLM no pós operatório apresentou 80% de excelentes e bons resultados. A correção final média do eixo mecânico foi de 3,4 ± 3,3 graus de valgo. CONCLUSÃO: Concluímos que a consolidação da osteotomia supra-tuberositária da tíbia com cunha de abertura fixada com placa calço de Anthony® e com enxertia óssea tricortical ocorre num intervalo de três meses. A cirurgia é eficaz para a correção da deformidade em varo do joelho, e propicia melhora clínica significante para o paciente.

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“…[1][2][3] Numerous scientific works, which recently appeared in the periodic literature, confirm both high interest to the given problem and efficiency of this method. [4][5][6][7] The discussion deals basically with the choice of correct indications for the osteotomy, and also with selection of a method for its carrying out.…”

Section: Introductionmentioning

confidence: 99%

“…It is well documented that the choice of closed wedge high tibial osteotomy by correct management of its indications gives high density of successful results of treatment. [4][5][6][7] By the combination of arthritis in the medial tibiofemoral compartment and varus deformations of the knee, the traditionally applied treatment is the closed wedge high tibial osteotomy through external access with osteosynthesis by staples.…”

Section: Introductionmentioning

confidence: 99%