Abstract
Osteotomy for mono-compartment osteoarthritis of the knee is one of the most common indications for deformity correction surgery. Because arthrosis is already present, the goal of treatment is to preserve the knee joint and delay the need for TKR as long as possible. Although many patients who undergo osteotomy never require TKR, the osteotomy must be performed with the assumption that each patient must remain an optimal TKR candidate after surgery. There are three compartments in the knee joint: medial, lateral, and patellofemoral. Arthritis may predominantly affect one or more of these. The most common compartment affected is the medial compartment. This chapter focuses predominantly on medial compartment osteoarthritis (MCOA) and, to a lesser extent, on the other two compartments.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Andriacchi TP (1994) Dynamics of knee malalignment. Orthop Clin North Am 25:395–403
Aydogdu S, Yercan H, Saylam C, Sur H (1996) Peroneal nerve dysfunction after high tibial osteotomy: an anatomical cadaver study. Acta Orthop Belg 62:156–160
Cooke TD, Pichora D, Siu D, Scudamore RA, Bryant JT (1989) Surgical implications of varus deformity of the knee with obliquity of joint surfaces. J Bone Joint Surg Br 71:560–565
Coventry MB (1965) Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee: a preliminary report. J Bone Joint Surg Am 47:984
Coventry MB (1973) Osteotomy about the knee for degenerative and rheumatoid arthritis. J Bone Joint Surg Am 55:23–48
Coventry MB (1979) Upper tibial osteotomy for gonarthrosis: the evolution of the operation in the last 18 years and long term results. Orthop Clin North Am 10:191–210
Fugisawa Y, Masuhara K,Shiomi S (1979) The effect of high tibial osteotomy on osteoarthritis of the knee: an arthroscopic study of 54 knee joints. Orthop Clin North Am 10:585–608
Hernigou P, Medevielle D, Debeyre J, Goutallier D (1987) Proximal tibial osteotomy for osteoarthritis with varus deformity: a ten to thirteen-year follow-up study. J Bone Joint Surg Am 69:332–354
Hsu RW, Himeno S, Coventry MB, Chao EY (1990) Normal axial alignment of the lower extremity and load-bearing distribution at the knee. Clin Orthop 255:215–227
Insall J, Salvati E (1971) Patella position in the normal knee joint. Radiology 101:101–104
Insall JN, Joseph DM, Msika C (1984) High tibial osteotomy for varus gonarthrosis: a long-term follow-up study. J Bone Joint Surg Am 66:1040–1048
Jackson JP, Waugh W (1961) Tibial osteotomy for osteoarthritis of the knee. J Bone Joint Surg Br 43:746
Jakob RP, Murphy SB (1992) Tibial osteotomy for varus gonarthrosis: indication, planning and operative technique. Instr Course Lect 41:87–93
Kirgis A, Albrecht S (1992) Palsy of the deep peroneal nerve after proximal tibial osteotomy: an anatomical study. J Bone Joint Surg Am 74:1180–1185
Maquet P (1976) Valgus osteotomy for osteoarthritis of the knee. Clin Orthop 120:143–148
Maquet P (1980) The biomechanics of the knee and surgical possibilities of healing osteoarthritic knee joints. Clin Orthop 146:102–110
Maquet PGJ (1984) Biomechanics of the knee: with application to the pathogenesis and the surgical treatment of osteoarthritis, 2nd edn. Springer, Berlin Heidelberg New York
Mont MA, Alexander N, Krackow KA, Hungerford DS (1994) Total knee arthroplasty after failed high tibial osteotomy. Orthop Clin North Am 25:515–525
Murphy SB (1994) Tibial osteotomy for genu varum: indications, preoperative planning, and technique. Orthop Clin North Am 25:477–482
Myrnerts R (1980) Knee instability before and after high tibial osteotomy. Acta Orthop Scand 51:561–564
Noda T, Yasuda S, Nagano K, Takahara Y, Namba Y, Inoue H(2000) Clinico-radiological study of total knee arthroplasty after high tibial osteotomy. J Orthop Sci 5:25–36
Paley D, Maar DC, Herzenberg JE (1994) New concepts in high tibial osteotomy for medial compartment osteoarthritis. Orthop Clin North Am 25:483–498
Prodromos CC, Andriacchi TP, Galante JO (1985) A relationship between gait and clinical changes following high tibial osteotomy. J Bone Joint Surg Am 67:1188–1194
Tigani D, Ferrari D, Trentani P, Barbanti-Brodano G, Trentani F(2001) Patellar height after high tibial osteotomy. Int Orthop 24:331–334
Westrich GH, Peters LE, Haas SB, Buly RL, Windsor RE (1998) Patella height after high tibial osteotomy with internal fixation and early motion. Clin Orthop 354:169–174
Windsor RE, Insall JN, Vince KG (1988) Technical considerations of total knee arthroplasty after proximal tibial osteotomy. J Bone Joint Surg Am 70:547–555
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2002 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Paley, D. (2002). Realignment for Mono-compartment Osteoarthritis of the Knee. In: Principles of Deformity Correction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59373-4_16
Download citation
DOI: https://doi.org/10.1007/978-3-642-59373-4_16
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-63953-1
Online ISBN: 978-3-642-59373-4
eBook Packages: Springer Book Archive