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Minimally Invasive Osteotomies Around the Knee

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Abstract

Osteoarthritis is a very common cause of knee pain. It affects high percentages of patients above 60 years of age [1] but is also seen in younger patients as a result of different etiologies including rheumatoid arthritis, a genetic predisposition, poor cartilage quality, or obesity.

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References

  1. Victor JMK, Bassens D, Bellemans J, Gürsu S, Dhollander AAM, Verdonk PCM. Constitutional varus does not affect joint line orientation in the coronal plane knee. Clin Orthop Relat Res. 2014;472(1):98–104.

    Article  Google Scholar 

  2. Bellemans J, Colyn W, Vandenneucker H, Victor J. The Chitranjan Ranawat award: is neutral mechanical alignment normal for all patients? The concept of constitutional varus. Clin Orthop Relat Res. 2012;470(1):45–53.

    Article  Google Scholar 

  3. Cooke TD, Scudamore RA, Bryant JT, Sorbie C, Siu D, Fisher B. A quantitative approach to radiography of the lower limb. Principles and applications. J Bone Joint Surg Br. 1991;73(5):715–20.

    Article  CAS  Google Scholar 

  4. Sharma L, Song J, Dunlop D, Felson D, Lewis CE, Segal N, et al. Varus and valgus alignment and incident and progressive knee osteoarthritis. Ann Rheum Dis. 2010;69(11):1940–5.

    Article  Google Scholar 

  5. Jordan JM, Kington RS, Lane NE, Nevitt MC, Zhang Y, Sowers MF. Systemic risk factors for osteoarthritis. In Felson DT. Osteoarthritis: new insights. Part 1: The disease and its risk factors. Ann Intern Med. 2000; 133:637–9.

    Google Scholar 

  6. Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly. The framingham osteoarthritis study. Arthritis Rheum. 1987;30(8):914–8.

    Article  CAS  Google Scholar 

  7. Brouwer RW, Jakma TSC, Bierma-Zeinstra SM A, Verhagen A P, Verhaar J, et al. Osteotomy for treating knee osteoarthritis. Cochrane database Syst Rev. 2005;(1):CD004019.

    Google Scholar 

  8. Agneskirchner JD, Hurschler C, Wrann CD, Lobenhoffer P. The effects of valgus medial opening wedge high tibial osteotomy on articular cartilage pressure of the knee: a biomechanical study. Arthroscopy. 2007;23(8):852–61.

    Article  Google Scholar 

  9. Cooke T, Pichora D, Siu D, Scudamore R, Bryant J. Surgical implications of varus deformity of the knee with obliquity of joint surfaces. Bone Joint J. 1989;71–B(4):560–5.

    Google Scholar 

  10. Babis GC, An K-N, Chao EYS, Rand JA, Sim FH. Double level osteotomy of the knee: a method to retain joint-line obliquity. Clinical results. J Bone Joint Surg Am. 2002;84–A(8):1380–8.

    Article  Google Scholar 

  11. Cooke TDV, Sled EA, Scudamore RA. Frontal plane knee alignment: a call for standardized measurement. J Rheumatol. 2007;34(9):1796–801.

    PubMed  Google Scholar 

  12. Paley D. Malalignment and malorientation in the frontal plane. In: Principles of deformity correction. Berlin: Springer; 2002. p. 19–30.

    Chapter  Google Scholar 

  13. Paley D. Normal lower limb alignment and joint orientation. In: Principles of deformity correction. Berlin: Springer; 2002. p. 1–18.

    Chapter  Google Scholar 

  14. Saithna A, Kundra R, Modi CS, Getgood A, Spalding T. Distal femoral varus osteotomy for lateral compartment osteoarthritis in the valgus knee. A systematic review of the literature. Open Orthop J. 2012;6:313–9.

    Article  Google Scholar 

  15. Rosso F, Margheritini F. Distal femoral osteotomy. Curr Rev Musculoskelet Med. 2014;7(4):302–11.

    Article  Google Scholar 

  16. Felson DT, Niu J, Gross KD, Englund M, Sharma L, Cooke TDV, et al. Valgus malalignment is a risk factor for lateral knee osteoarthritis incidence and progression: findings from the multicenter osteoarthritis study and the osteoarthritis initiative. Arthritis Rheum. 2013;65(2):355–62.

    Article  Google Scholar 

  17. Nelissen EM, van Langelaan EJ, Nelissen RGHH. Stability of medial opening wedge high tibial osteotomy: a failure analysis. Int Orthop. 2010;34(2):217–23.

    Article  CAS  Google Scholar 

  18. Chahla J, Mitchell JJ, Liechti DJ, Moatshe G, Menge TJ, Dean CS, et al. Opening- and closing-wedge distal femoral osteotomy: a systematic review of outcomes for isolated lateral compartment osteoarthritis. Orthop J Sport Med. 2016;4(6):2325967116649901.

    Article  Google Scholar 

  19. W-Dahl A, Robertsson O, Lidgren L. Surgery for knee osteoarthritis in younger patients. Acta Orthop. 2010;81(2):161–4.

    Article  Google Scholar 

  20. Spahn G, Hofmann GO, von Engelhardt LV, Li M, Neubauer H, Klinger HM. The impact of a high tibial valgus osteotomy and unicondylar medial arthroplasty on the treatment for knee osteoarthritis: a meta-analysis. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):96–112.

    Article  Google Scholar 

  21. Floerkemeier S, Staubli AE, Schroeter S, Goldhahn S, Lobenhoffer P. Outcome after high tibial open-wedge osteotomy: a retrospective evaluation of 533 patients. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):170–80.

    Article  Google Scholar 

  22. Lobenhoffer P, Agneskirchner J, Zoch W. Die öffnende valgisierende Osteotomie der proximalen Tibia mit Fixation durch einen medialen Plattenfixateur. Orthopäde. 2004;33:153–60.

    Google Scholar 

  23. Brinkman J-M, Lobenhoffer P, Agneskirchner JD, Staubli AE, Wymenga AB, van Heerwaarden RJ. Osteotomies around the knee: patient selection, stability of fixation and bone healing in high tibial osteotomies. J Bone Joint Surg Br. 2008;90–B(12):1548–57.

    Article  Google Scholar 

  24. Han SB, Lee DH, Shetty GM, Chae DJ, Song JG, Nha KW. A “safe zone” in medial open-wedge high tibia osteotomy to prevent lateral cortex fracture. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):90–5.

    Article  CAS  Google Scholar 

  25. Vanadurongwan B, Siripisitsak T, Sudjai N, Harnroongroj T. The anatomical safe zone for medial opening oblique wedge high tibial osteotomy. Singapore Med J. 2013;54(2):102–4.

    Article  Google Scholar 

  26. van Heerwaarden R, Najfeld M, Brinkman M, Seil R, Madry H, Pape D. Wedge volume and osteotomy surface depend on surgical technique for distal femoral osteotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):206–12.

    Article  Google Scholar 

  27. Brinkman J-M, Hurschler C, Agneskirchner JD, Freiling D, van Heerwaarden RJ. Axial and torsional stability of supracondylar femur osteotomies: biomechanical comparison of the stability of five different plate and osteotomy configurations. Knee Surg Sports Traumatol Arthrosc. 2011;19(4):579–87.

    Article  Google Scholar 

  28. Hofmann S, Lobenhoffer P, Staubli A, Van Heerwaarden R. Osteotomien am Kniegelenk bei Monokompartmentarthrose. Orthopade. 2009;38(8):755–70.

    Article  CAS  Google Scholar 

  29. Bonasia DE, Governale G, Spolaore S, Rossi R, Amendola A. High tibial osteotomy. Curr Rev Musculoskelet Med. 2014;7:292–301.

    Google Scholar 

  30. Sanna M, Sanna C, Caputo F, Piu G, Salvi M. Surgical approaches in total knee arthroplasty. Joints. 2013;1(2):34–44.

    PubMed  PubMed Central  Google Scholar 

  31. Farouk O, Krettek C, Miclau T, Schandelmaier P, Guy P, Tscherne H. Minimally invasive plate osteosynthesis and vascularity: preliminary results of a cadaver injection study. Injury. 1997;28:A7–12.

    Article  Google Scholar 

  32. Farouk O, Krettek C, Miclau T, Schandelmaier P, Tscherne H. The topography of the perforating vessels of the deep femoral artery. Clin Orthop Relat Res. 1999;368:255–9.

    Article  Google Scholar 

  33. Farouk O, Krettek C, Miclau T, Schandelmaier P, Tscherne H. Effects of percutaneous and conventional plating techniques on the blood supply to the femur. Arch Orthop Trauma Surg. 1998;117(8):438–41.

    Article  CAS  Google Scholar 

  34. Amis AA. Biomechanics of high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2013;21(1):197–205.

    Article  Google Scholar 

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Kley, K. (2020). Minimally Invasive Osteotomies Around the Knee. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_11

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  • DOI: https://doi.org/10.1007/978-3-662-61264-4_11

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  • Publisher Name: Springer, Berlin, Heidelberg

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  • Online ISBN: 978-3-662-61264-4

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