Dome-Shaped Osteotomy for Revision of Failed Closing-Wedge High Tibial Osteotomy

Gama, Diogo F.; Cabral, João; Vale, Mário; Freitas, Ricardo Telles de; Varatojo, Ricardo

doi:10.1177/2325967119857047

Cited by 4 publications

(6 citation statements)

References 18 publications

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“…it allows more than one multi-dimensional and multiplanar corrections all at one time. Its effectiveness has been confirmed in many studies, including correct joint instability and lower limb alignment 48 . TCVO is applied to patients with intra-articular deformity in the middle and late stages.…”

Section: L-shaped High Tibial Osteotomy L-shaped High Tibial Osteotomy (Lhto) Known As Tibial Condyle Valgus Osteotomy (Tcvo)mentioning

confidence: 88%

“…, is an open intra-articular osteotomy, which was developed by Chiba et al 48 .The "Lshaped" part of the term refers to the section from the proximal tibia to the intercondylar spine (Fig. 4).…”

Section: L-shaped High Tibial Osteotomy L-shaped High Tibial Osteotomy (Lhto) Known As Tibial Condyle Valgus Osteotomy (Tcvo)mentioning

confidence: 99%

“…Different from the linear displacement correction method in wedge osteotomy, DSHTO minimizes distance alteration between tibial tubercle and joint line, whereby, it better maintains the position of patella. Even to the young patients who have failed in LCWHTO correction,the application of DSHTO surgery can achieve improvement 47 . However, due to the large intraoperative exposure and complicated surgical techniques, DSHTO is rarely used in clinical practice.…”

Section: Anti‐varus Deformity Osteotomymentioning

confidence: 99%

“…(E) When desired angle is achieved, the TomoFix plate fix fragments are applied under compression. The figure was adapted from Diogo et al 47 …”

Section: Anti‐varus Deformity Osteotomymentioning

confidence: 99%

“…(B,C) the weight-bearing line is shifted out and the lateral subluxation joint is reset after correction. The figure was adapted from Chiba et al48…”

mentioning

confidence: 99%

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Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis

Peng

Huang

et al. 2021

Orthopaedic Surgery

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Osteoarthritis causes joint pain and functional disorder, of which knee osteoarthritis is the most common. Nowadays, clinically effective treatments mainly include conservative treatment, arthroplasty, and osteotomy. However, conservative treatment only offers symptomatic relief and arthroplasty is limited to the patients with a moderate to severe degree of osteoarthritis. For relatively young patients who require greater knee preservation, a surgical treatment with low operation trauma and revision rate is needed. Osteotomy around the knee, based on the notion of "knee preservation," has been chosen as an alternative surgical treatment. Cutting and realigning the bones corrects the mechanical line of lower limb force bearing. As such, osteotomy around the knee retains normal anatomical structure and obtains good functional recovery of the knee joint. The techniques of osteotomy around the knee includes antivarus deformity and anti-valgus deformity osteotomy, aiming to reallocate the force bearing in the compartment of the knee joint. By choosing the surgical section of the lower limbs, the osteotomy around the knee can achieve the correction of mechanical axis, such as the high tibial osteotomy (HTO), proximal fibular osteotomy (PFO), and distal femur osteotomy (DFO). Numerous modified techniques have been developed to meet the demands of patients based on traditional methods. These modified osteotomy have their own advantages and indications. This paper aims to guide clinical treatment by reviewing different types of osteotomies, and their effects, that have been studied and applied widely in clinical practices.

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Section: L-shaped High Tibial Osteotomy L-shaped High Tibial Osteotomy (Lhto) Known As Tibial Condyle Valgus Osteotomy (Tcvo)mentioning

confidence: 88%

Section: L-shaped High Tibial Osteotomy L-shaped High Tibial Osteotomy (Lhto) Known As Tibial Condyle Valgus Osteotomy (Tcvo)mentioning

confidence: 99%

Section: Anti‐varus Deformity Osteotomymentioning

confidence: 99%

“…(E) When desired angle is achieved, the TomoFix plate fix fragments are applied under compression. The figure was adapted from Diogo et al 47 …”

Section: Anti‐varus Deformity Osteotomymentioning

confidence: 99%

“…(B,C) the weight-bearing line is shifted out and the lateral subluxation joint is reset after correction. The figure was adapted from Chiba et al48…”

mentioning

confidence: 99%

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Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis

Peng

Huang

et al. 2021

Orthopaedic Surgery

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Application of a New M-shaped High Tibial Osteotomy Method: A Technical Note

Liu

et al. 2023

JOIO

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Focal Dome Osteotomy Combined with Ilizarov Technique for Treating Femoral Multiplanar Deformity

Li,

Gan

et al. 2024

Orthopaedic Surgery

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ObjectiveThe management of femoral multiplanar deformity remains a great challenge for orthopaedic surgeons. The focal dome osteotomy (FDO) combined with Ilizarov technique is a theoretically ideal method for treating femoral multiplanar deformity, but the clinical evidence is limited. The aim of this study is to assess the clinical and radiological outcomes of this combined strategy for correcting femoral multiplanar deformities.MethodsA retrospective analysis was conducted to analyze 20 patients (29 limbs) with femoral multiplanar deformities treated by FDO combined with Ilizarov external fixation in our limb deformity center between 2017 and 2022. Preoperative and postoperative radiographical parameters were measured, including lateral proximal femoral angle (LPFA), mechanical lateral distal femoral angle (mLDFA), middle diaphysis angle (MDA), anatomic posterior distal femoral angle (aPDFA), mechanical axis deviation (MAD), and limb length discrepancy (LLD). Clinical assessments included a self‐made questionnaire for exercise capacity score (ECS), visual analog scale (VAS), and the 36‐Item Short‐Form Health Survey (SF‐36) score.ResultsThere were eight males and 12 females, with a mean age of 32.8 years (14–61 years). All patients completed follow‐up with a mean follow‐up duration of 41.5 (27–81) months. The mean EFT was 8.9 (1.4–20.2) months. At final follow‐up, significantly improvement was noted regarding mean LLD (from 1.8 to 0.4 cm, p < 0.05), MDA (from 31.8° to 10.4°, p < 0.05), aPDFA (from 97.6° to 91.8°, p < 0.05), MAD (from 22.4 to 5.3 mm, p < 0.05), CORA on the true deformity plane (from 32.4° to 6.8°, p < 0.05). The mean VAS was decreased from 4.03 (2.0–6.0) preoperatively to 1.38 (0–3.0) at final follow‐up (p < 0.05). The mean score of each item of SF‐36 was significantly improved at final follow‐up (p < 0.05). The mean ECS was improved from 8.2 (5–12) preoperatively to 11.4 (8–13) at final follow‐up (p < 0.05). During the follow‐up, one patient underwent pin exchange. One patient underwent internal fixation to replace the Ilizarov fixation 1.4 months after the first surgery. Residual LLD (>0.5 cm) was noted in four patients but without significant symptoms. No serious complications occurred.ConclusionsThe strategy of FDO combined with Ilizarov fixation could provide powerful ability and good flexibility for correcting femoral multiplanar deformities without significant complications.

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Dome-Shaped Osteotomy for Revision of Failed Closing-Wedge High Tibial Osteotomy

Cited by 4 publications

References 18 publications

Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis

Osteotomy Around the Knee: The Surgical Treatment of Osteoarthritis

Application of a New M-shaped High Tibial Osteotomy Method: A Technical Note

Focal Dome Osteotomy Combined with Ilizarov Technique for Treating Femoral Multiplanar Deformity

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