Short-term and mid-term results of lateral condyle sliding osteotomy in the treatment of valgus total knee arthroplasty: A successful therapy option in Grade 2 valgus total knee arthroplasty

Scior, Wolfgang; Hilber, Franz; Hofstetter, Martin; Graichen, Heiko

doi:10.1016/j.knee.2018.03.007

Cited by 9 publications

(11 citation statements)

References 22 publications

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“…There was female predominance (mean 70.4%, range 29–94%). The pooled mean age was 67.2 ± 9.1 (range 54–74) and the mean BMI ranged from 23 to 30 kg/m 2 , but was only reported in 6 studies [ 8 , 17 , 30 , 33 , 36 , 47 ]. Preoperative diagnoses included 746 (59.4%) patients with OA, 219 (17.5%) with rheumatoid arthritis, 27 (2.2%) with posttraumatic OA and 263 (21.0%) had an unknown aetiology.…”

Section: Resultsmentioning

confidence: 99%

Common peroneal nerve palsy after TKA in valgus deformities; a systematic review

et al. 2022

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Purpose The aim of this systematic review is to investigate the prevalence of Common Peroneal Nerve Palsy after total knee arthroplasty in valgus deformities. Furthermore, the effectiveness of a peroneal nerve release prior to arthroplasty to prevent the palsy will be investigated. Methods PubMed and Google Scholar were searched. Search terms regarding valgus deformity and total knee arthroplasty were used. Data analysis and extraction were performed using the web application ‘Rayyan QCRI’ according to PRISMA guidelines and screened according to the inclusion and exclusion criteria. Results Twenty-seven studies were included, representing 1397 valgus knees. Knee balancing was performed in 19 studies with lateral soft tissue releases (1164 knees) and 8 studies (233 knees) with an additional osteotomy. Two studies (41 knees) in the lateral soft tissue release group conducted a peroneal nerve release simultaneous to arthroplasty. Common peroneal nerve palsies occurred in 26 cases (1.9%). Overall, no significant difference in palsy ratio between studies was found by using a peroneal nerve release (p = 0.90), between lateral soft tissue releases and osteotomies (p = 0.11) or between releases of specific ligaments. Conclusion Common peroneal nerve palsies occur in 1.9% of the cases after total knee arthroplasty in valgus deformities. No difference in the number of palsies was seen when using a peroneal nerve release or using different balancing techniques. However, literature about peroneal nerve releases was very limited, therefore, the effectiveness of a peroneal nerve release remains unclear. Level of evidence LEVEL III: Systematic review.

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Section: Resultsmentioning

confidence: 99%

Common peroneal nerve palsy after TKA in valgus deformities; a systematic review

et al. 2022

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“…Six studies presented outcomes after lateral femoral condyle osteotomy for the correction of severe valgus deformity in TKA ( Table 2 ). All patients require specific ligament balancing surgery to achieve proper correction and knee stability [ 28 , 29 , 30 , 31 , 32 ]. Preoperative valgus deformity ranged from 10 to >20 degrees, and it was reported in three articles [ 28 , 31 , 32 , 33 ] and described as a fixed valgus deformity (the valgus deformity was not passively correctable) in two articles [ 29 , 30 ].…”

Section: Resultsmentioning

confidence: 99%

“…All patients require specific ligament balancing surgery to achieve proper correction and knee stability [ 28 , 29 , 30 , 31 , 32 ]. Preoperative valgus deformity ranged from 10 to >20 degrees, and it was reported in three articles [ 28 , 31 , 32 , 33 ] and described as a fixed valgus deformity (the valgus deformity was not passively correctable) in two articles [ 29 , 30 ]. Four of the studies were prospective [ 28 , 29 , 30 , 32 ], and two of them were retrospective [ 31 , 33 ], but none of them had a control group.…”

Section: Resultsmentioning

confidence: 99%

“…Preoperative valgus deformity ranged from 10 to >20 degrees, and it was reported in three articles [ 28 , 31 , 32 , 33 ] and described as a fixed valgus deformity (the valgus deformity was not passively correctable) in two articles [ 29 , 30 ]. Four of the studies were prospective [ 28 , 29 , 30 , 32 ], and two of them were retrospective [ 31 , 33 ], but none of them had a control group. All authors decided to perform lateral femoral sliding osteotomy in one-stage surgery with TKA.…”

Section: Resultsmentioning

confidence: 99%

“…Other authors, after performing osteotomy, used two or three screw (cannulated or cancellous) fixations. A total of 203 patients included in all trials presented significantly improved outcomes in the last follow-up (median 1 to 5 years): OKS [ 32 , 33 ], KSS [ 28 , 29 , 30 , 31 , 32 ], KSF [ 31 , 32 ], WOMAC [ 29 ], HSS [ 29 ], and Stability Score [ 28 ]. All studies after surgery had an X-ray for radiological measurements of correction.…”

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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Extra‐articular biceps tendon supplement release in total knee arthroplasty for valgus deformity combined with severe flexion contracture

YimingWang

Geng

RunkaiZhao

et al. 2023

Journal Orthopaedic Research

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To investigate the efficacy of extra‐articular biceps tendon supplement (EBS) release in the treatment of valgus knee with severe flexion contracture. We retrospectively studied 27 patients who received EBS release for valgus knee combined with severe flexion contracture from 2018 to 2021. The full‐length radiograph of the lower limbs in a standing position was taken before and after the operation, and the tibiofemoral angles before and after the operation were measured on the full‐length radiograph of the lower limbs. Knee joint motion measurement and KSS scoring were performed before and after the operation (3 months, 6 months, and 1 year), and the obtained data were compared before and after the operation to evaluate clinical results. Compared with preoperation, postoperative HKA (p < 0.01), ROM at 3 months (p < 0.01), 6 months (p < 0.01), and 1 year (p < 0.01) were significantly improved, and KSS scores at 3 months (p < 0.01), 6 months (p < 0.01), and 1 year (p < 0.01) were significantly improved. Our EBS release has good clinical results for the treatment of valgus knee with severe flexion contracture.

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Short-term and mid-term results of lateral condyle sliding osteotomy in the treatment of valgus total knee arthroplasty: A successful therapy option in Grade 2 valgus total knee arthroplasty

Cited by 9 publications

References 22 publications

Common peroneal nerve palsy after TKA in valgus deformities; a systematic review

Common peroneal nerve palsy after TKA in valgus deformities; a systematic review

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

Extra‐articular biceps tendon supplement release in total knee arthroplasty for valgus deformity combined with severe flexion contracture

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