A new double level osteotomy procedure to restore a joint line and joint angles in severe varus osteoarthritis. - Double level osteotomy associated with tibial condylar valgus osteotomy (DLOTO)
| Autor: | Naohisa Miyakoshi, Masashi Fujii, Hidetomo Saito, Toshiaki Yamamura, Shohei Murata, Koji Nozaka, Hiroaki Kijima, Akihiko Yonekura, Tetsuya Kawano, Kimio Saito, Takahiro Sato, Yoichi Shimada |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
musculoskeletal diseases
medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Osteoarthritis Joint line obliquity Osteotomy Condyle 03 medical and health sciences 0302 clinical medicine High tibial osteotomy Joint line medicine Deformity Orthopedics and Sports Medicine lcsh:Sports medicine Joint (geology) Orthodontics 030222 orthopedics biology business.industry Tibial condylar valgus osteotomy Rehabilitation 030229 sport sciences medicine.disease biology.organism_classification musculoskeletal system Double level osteotomy Valgus Knee osteoarthritis medicine.symptom Technical Notes lcsh:RC1200-1245 business |
| Zdroj: | Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology Asia-Pacific Journal of Sports Medicine, Arthroscopy, Rehabilitation and Technology, Vol 24, Iss, Pp 9-13 (2021) |
| ISSN: | 2214-6873 |
| Popis: | High tibial valgus osteotomy (HTO) is a well-established surgical procedure to correct a varus malalignment and treat medial compartment osteoarthritis. Recently, double level osteotomy (DLO) was recommended for extensive varus knees as a single level osteotomy (SLO) approach may create an excessive joint line obliquity and eventually result in a new bony deformity. However, a severe varus knee in cases of advanced osteoarthritis involves not only a bony deformity (extra-articular deformity) but also a medial joint space narrowing with a widened lateral joint space (intra-articular deformity). A DLO alone cannot reduce this intra-articular deformity. However, tibial condylar valgus osteotomy (TCVO) can complement DLO as to reduce this intra-articular deformity. This technical note describes a novel modified DLO procedure associated with TCVO which can restore a normal alignment and a joint line and achieve joint preservation even in cases of extensive varus osteoarthritis. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|