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The Role of Osteotomy in the Multiple-Ligament-Injured Knee

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Abstract

Patients with instability after multiple-ligament-injured knee (MLIK) often present with many concomitant pathologies, including limb malalignment, meniscal incompetence and cartilage defects. Surgical treatment remains challenging; yet, interest has recently increased with numerous anatomic studies and technical notes published about ligament reconstructions, ligament augmentations, and ligament repairs in and around the knee. However, biological healing of soft tissues can be uncertain and inefficient to control forces and torques applied to the joint. In this context, axis impairment creating mechanical disorders need to be recognized, analyzed and corrected. Associated or not with soft tissue procedures, osteotomy is a surgical option that is a part of the knee surgeon’s modern armamentarium. This chapter highlights the role of osteotomy to restore stability and function in MLIK as a means of ensuring success in the long-term outcome.

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Abbreviations

ACL:

Anterior Cruciate Ligament

AP:

Anteroposterior

BMI:

Body Mass Index

DFVO:

Distal Femoral Varus Osteotomy

HKA:

Hip–Knee–Ankle

HTO:

High Tibial Osteotomy

LCL:

Lateral Collateral Ligament

MCL:

Medial Collateral Ligament

MLIK:

Multiple-Ligament-Injured Knee

MRI:

Magnetic Resonance Imaging

PCL:

Posterior Cruciate Ligament

PLC:

Posterolateral Corner

PMC:

Posteromedial Corner

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Author information

Authors and Affiliations

  1. Sports Medicine, Hospital for Special Surgery, New York, NY, USA

    Hervé Ouanezar, Sava Turcan & Anil S. Ranawat

Authors
  1. Hervé Ouanezar
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  2. Sava Turcan
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  3. Anil S. Ranawat
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Corresponding author

Correspondence to Hervé Ouanezar .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Geisinger Medical Center/Health System, Danville, PA, USA

    Gregory C. Fanelli

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Ouanezar, H., Turcan, S., Ranawat, A.S. (2019). The Role of Osteotomy in the Multiple-Ligament-Injured Knee. In: Fanelli, G. (eds) The Multiple Ligament Injured Knee. Springer, Cham. https://doi.org/10.1007/978-3-030-05396-3_26

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  • DOI: https://doi.org/10.1007/978-3-030-05396-3_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05395-6

  • Online ISBN: 978-3-030-05396-3

  • eBook Packages: MedicineMedicine (R0)

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