Same-stage total knee arthroplasty and osteotomy for osteoarthritis with extra-articular deformity. Part II: Femoral osteotomy, prospective study of 6 cases

Catonné, Yves; Khiami, F.; Sariali, Elhadi; Ettori, Marc-Antoine; Delattre, Olivier; Tillie, Bruno

doi:10.1016/j.otsr.2019.04.009

Cited by 16 publications

(11 citation statements)

References 10 publications

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Section: Resultsmentioning

confidence: 99%

“…Eight case series included in our study concerned distal femoral osteotomy as an additional procedure to TKA [ 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 ] ( Table 1 ). Five of them presented one-stage total knee arthroplasty with distal femoral osteotomy for the correction of extra-articular deformity with good results in the last follow-up (4 to 10 years of follow-up) [ 19 , 20 , 21 , 22 , 25 ]. Five of them included post-traumatic patients with femoral fractures malunion (in total, 19 patients) [ 19 , 20 , 21 , 22 , 25 ]: constitutional in three patients, secondary after femoral osteotomy with overcorrection in three patients [ 22 ], and one with hypophosphatemic rickets [ 25 ].…”

Section: Resultsmentioning

confidence: 99%

“…Five of them presented one-stage total knee arthroplasty with distal femoral osteotomy for the correction of extra-articular deformity with good results in the last follow-up (4 to 10 years of follow-up) [ 19 , 20 , 21 , 22 , 25 ]. Five of them included post-traumatic patients with femoral fractures malunion (in total, 19 patients) [ 19 , 20 , 21 , 22 , 25 ]: constitutional in three patients, secondary after femoral osteotomy with overcorrection in three patients [ 22 ], and one with hypophosphatemic rickets [ 25 ]. Clinical and functional outcomes were shown in KSS [ 19 , 21 , 25 , 26 ], HSS [ 22 ], Kujala, and Oxford Knee Score [ 23 ], with significant increases at the last follow-up.…”

Section: Resultsmentioning

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

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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“…The third modality prolongs patient hospitalization and recovery time, increases the number of procedures, and also increases the odds of incisional infection and economic burden. The fourth procedure performed better than the previous several, especially for KOA with a deformity angle > 20°, which avoids excessive osteotomy within the joint and restores the lower limb force lines [ 7 , 8 ], but it increases the economic burden as well as the risk of possible consolidation with plate implantation.…”

Section: Discussionmentioning

confidence: 99%

Modified treatment of knee osteoarthritis complicated with femoral varus deformity: A case report

Xu¹,

Li²,

Zhang³

et al. 2022

WJCC

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BACKGROUND Surgical treatment of knee osteoarthritis (KOA) complicated by extra-articular deformity has always been controversial regardless of whether it is simultaneous or staged. Simultaneous total knee arthroplasty (TKA) combined with supracondylar osteotomy without plate for treatment of KOA complicated by femoral varus deformity has not been reported in the literature. CASE SUMMARY A 53-year-old Chinese woman complained of left knee pain for 6 years that worsened for 4 mo during her visit on April 3, 2020, accompanied by instability in walking, which seriously affected quality of life. According to her medical history and preoperative imaging, the patient was diagnosed with left KOA with varus deformity. We used the angular center of rotation principle for osteotomy of the femur deformity and placed a poststabilized femur prosthesis into the knee joint. At the same time, a 13 mm × 130 mm femur extension rod was used instead of a steel plate to fix the end of the femur osteotomy, reducing the possible complications caused by steel plate implantation and reducing the economic burden on patients. The operation successfully solved two major problems of KOA and varus deformity, and the clinical and imaging evaluation of postoperative follow-up were satisfactory. CONCLUSION TKA and supracondylar femoral osteotomy can be used for simultaneous KOA treatment and deformity correction.

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“…Human anatomy completely excludes large valgus deformities of the tibial metaphysis which do not occur naturally and are therefore purely iatrogenic [1]. This femoral osteotomy may also be associated with a total prosthetic knee replacement when the extra-articular deformity is significant [16].…”

Section: Discussionmentioning

confidence: 99%