Closing wedge osteotomy of the tibia and the femur in the treatment of gonarthrosis

Sherman, Courtney E.; Cabanela, Miguel E.

doi:10.1007/s00264-009-0883-1

Cited by 29 publications

(18 citation statements)

References 59 publications

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“…In this study, the tibiofemoral angle was 16-29°valgus (average, 22°valgus) with the required correction angle of 10-23°(average, 16°). Overcorrection was not planned owing to the relatively young age of the patients and minimal osteoarthritic change observed [7,27].…”

Section: Methodsmentioning

confidence: 99%

“…It may be of traumatic, degenerative or developmental origin [11,16,17,35]. Biomechanically, 60-70% of the load passes through the medial compartment of the knee during stance phase in a normally aligned knee [27,29,34]. A knee with valgus deformity will shift the load towards the lateral compartment of the knee, leading to degenerative changes in this area [26,27,34].…”

Section: Introductionmentioning

confidence: 99%

“…Biomechanically, 60-70% of the load passes through the medial compartment of the knee during stance phase in a normally aligned knee [27,29,34]. A knee with valgus deformity will shift the load towards the lateral compartment of the knee, leading to degenerative changes in this area [26,27,34]. A normal knee has been reported to have a tibiofemoral angle with 5-7°valgus [5,18,27,34].…”

Section: Introductionmentioning

confidence: 99%

“…A knee with valgus deformity will shift the load towards the lateral compartment of the knee, leading to degenerative changes in this area [26,27,34]. A normal knee has been reported to have a tibiofemoral angle with 5-7°valgus [5,18,27,34]. An acceptable knee alignment is considered to be within 10°of this range (i.e., 15-17°valgus) [3,20,34].…”

Section: Introductionmentioning

confidence: 99%

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Retrograde dynamic locked nailing for valgus knee correction: a revised technique

2012

International Orthopaedics (SICOT)

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Purpose Traditionally, valgus knee deformity is predominately corrected by stabilisation with a plate inserted via the medial approach to the supracondylar region of the femur. However, this technique is unfavourable from both a biomechanical and a biological point of view. A revised retrograde dynamic locked nailing was developed to improve correction of this defect. Method Forty-one knees with valgus deformity (average tibiofemoral angle, 22°; range, 16-29°) in 25 adult patients were treated by oblique femoral supracondylar varus osteotomy and stabilised with retrograde dynamic locked nails. Postoperatively, early ambulation with protected weight bearing and range of motion knee exercises were encouraged. Result Thirty-five knees of 21 patients were followed-up for an average of 2.6 years (range, 1.1-4.5 years). All osteotomy sites healed with an average union period of 3.4 months (range, 2.5-5.0 months). There were no significant complications. At the latest follow-up, the average tibiofemoral angle was 7.1°valgus (range, 4-10°valgus). For all of the knees, the outcomes were satisfactory (p<0.001). Conclusion The technique described here may be a feasible alternative for correction of valgus knee deformity. The advantages of this technique include the use of a biomechanically more appropriate method, a minimal complication rate and a high rate of satisfactory outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Retrograde dynamic locked nailing for valgus knee correction: a revised technique

2012

International Orthopaedics (SICOT)

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“…First, Wolcott et al [1] have stated that "Correction of malalignment in young patients with unicompartmental disease has shown promising results, but more long-term, prospective studies are needed to determine functional results". The review of Sherman and Cabanela (Mayo Clinic) [2] concerns closing osteotomy in femur and tibia. Their "principal indications include unicompartmental medial and, to a lesser extent, varus knee gonarthrosis and unicompartmental lateral or valgus knee gonarthrosis with a well-maintained range of motion in patients who are physiologically young".…”

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confidence: 99%