2017
DOI: 10.1007/s00402-016-2609-3
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Tibial condylar valgus osteotomy (TCVO) for osteoarthritis of the knee: 5-year clinical and radiological results

Abstract: PurposeTibial condylar valgus osteotomy (TCVO) is a type of opening-wedge high tibial osteotomy for advanced medial knee osteoarthritis (OA) with subluxated lateral joint. We report the concept, the current surgical technique with a locking plate, and the short-term clinical and radiological results of this procedure.Methods11 knees with medial OA and a widened lateral joint were treated by TCVO (KL stage III: 6, IV: 5). In this procedure, by the L-shaped osteotomy from the medial side of the proximal tibia to… Show more

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Cited by 51 publications
(54 citation statements)
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“…2a-c). The %MA indicates the point of intersection between the mechanical axis (a line drawn from the center of the femoral head to the center of the ankle) and the tibial plateau, converted to a percentage from medial edge (0%) to lateral edge (100%) [27, 32]. The mechanical lateral distal femoral angle (mLDFA) and the medial proximal tibial angle (MPTA) were measured to evaluate the morphology of the distal femur and proximal tibia (Fig.…”
Section: Methodsmentioning
confidence: 99%
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“…2a-c). The %MA indicates the point of intersection between the mechanical axis (a line drawn from the center of the femoral head to the center of the ankle) and the tibial plateau, converted to a percentage from medial edge (0%) to lateral edge (100%) [27, 32]. The mechanical lateral distal femoral angle (mLDFA) and the medial proximal tibial angle (MPTA) were measured to evaluate the morphology of the distal femur and proximal tibia (Fig.…”
Section: Methodsmentioning
confidence: 99%
“…Tibial condylar valgus osteotomy (TCVO), a novel L-shaped osteotomy developed in the 1990s in Japan, also corrects lower extremity alignment from varus to valgus and shifts the weight-bearing (mechanical) axis laterally [27]. TCVO together with remodeling of the shape of the tibial plateau can improve femorotibial joint congruity and stability.…”
Section: Introductionmentioning
confidence: 99%
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“…Type III was treated with the IF following single or multiple level valgus osteotomies and simple curettage [5,6]. Type IV was treated with a high tibial osteotomy (HTO) [17] or distal femoral osteotomy (DFO) [18], following femoral malalignment correction.…”
Section: Perioperative Managementmentioning
confidence: 99%
“…[10][11][12] Bone-conserving options are preferred for younger patients with partial thickness medial cartilage damage with intact lateral and patellofemoral compartment who are more active and have higher physical demands. 2,3,13,14 Recently a treatment option combining medial UKR and ACL reconstruction has been developed. 3,[6][7][8][15][16][17] However, still limited experience exists in this field.…”
mentioning
confidence: 99%