Osteotomies around the knee

King, Amanda; Wall, Owen

doi:10.1016/j.mporth.2014.07.003

Cited by 2 publications

(2 citation statements)

References 33 publications

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“…Nowadays, osteotomies around the knee are widely used for the treatment of knee osteoarthritis, posttraumatic malalignment, or congenital deformities. A surgeon can perform an osteotomy as a single procedure, as well as with concomitant soft tissue surgery, articular cartilage regenerative procedure, or ligament reconstruction [ 7 , 8 ]. The principles of osteotomies were described by Paley, who defined standard lower limb alignment and joint orientation, as well as malalignment and malorientation in different planes.…”

Section: Introductionmentioning

confidence: 99%

“…He described radiographic assessment of deformities and referred to each joint, as well as total knee arthroplasty (TKA), associated with malalignment [ 5 ]. The mechanical and anatomical principles of osteotomy are of great concern in order to achieve appropriate alignment and joint congruency after surgery [ 8 , 9 ]. The most frequently performed osteotomy is the medial open-wedge high tibial osteotomy (HTO), which is for the treatment of early stage osteoarthritis [ 10 ], and the tibial tubercle osteotomy (TTO), which is for recurrent patella dislocation or patellofemoral arthritis [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Osteotomies and Total Knee Arthroplasty: Systematic Review and Meta-Analysis

Kulinski

Tramś

Pomianowski

et al. 2022

Life

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Total knee replacement (TKA) is a frequent modality performed in patients with osteoarthritis. Specific circumstances can make it much more difficult to execute successfully, and additional procedures such as osteotomy may be required. The aim of this study was to perform a meta-analysis and systematic review of osteotomies combined with TKA. Methods: In June 2022, a search PubMed, Embase, Cochrane, and Clinicaltrials was undertaken, adhering to PRISMA guidelines. The search included the terms “osteotomy” and “total knee arthroplasty”. Results: Two subgroups (tibial tubercle osteotomy and medial femoral condyle osteotomy) were included in the meta-analysis. Further subgroups were described as a narrative review. The primary outcome showed no significant difference in favor to TTO. Secondary outcomes showed improved results in all presented subgroups compared to preoperative status. Conclusion: This study showed a significant deficit of randomized control trials treated with osteotomies, in addition to TKA, and a lack of evidence-based surgical guidelines for the treatment of patients with OA in special conditions: posttraumatic deformities, stiff knee, severe varus, and valgus axis or patella disorders.

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Section: Introductionmentioning

confidence: 99%