One-stage computer-assisted total knee arthroplasty and tibial osteotomy
| Autor: | Stéphane Denjean, O. Tayot, F. Chatain |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty Knee Joint medicine.medical_treatment Total knee arthroplasty Tibial osteotomy Osteotomy Prosthesis Bone and Bones 03 medical and health sciences 0302 clinical medicine Genu Varum medicine Humans Orthopedics and Sports Medicine Arthroplasty Replacement Knee Aged Aged 80 and over 030222 orthopedics Tibia Computer assistance business.industry One stage 030229 sport sciences Middle Aged Osteoarthritis Knee musculoskeletal system Surgery Genu Valgum medicine.anatomical_structure Treatment Outcome Surgery Computer-Assisted Ligament Female Hip Joint Implant business Ankle Joint Follow-Up Studies |
| Zdroj: | Orthopaedicstraumatology, surgeryresearch : OTSR. 103(3) |
| ISSN: | 1877-0568 |
| Popis: | Same-stage tibial osteotomy may deserve consideration in candidates to total knee arthroplasty (TKA) who have severe bone deformities, particularly at extra-articular sites. This strategy obviates the need for either a major and technically difficult ligament release procedure, which may compromise ligament balancing, or the use of a semi-constrained prosthesis. This technical note describes a one-stage, computer-assisted technique consisting in TKA, followed by corrective tibial osteotomy to obtain an overall mechanical axis close to 180° without extensive ligament balancing. This technique provided satisfactory outcomes in 8 patients followed-up for at least 3years, with no specific complications or ligament instability and with a hip-knee-ankle angle close to 180°. After planning, intra-operative computer assistance ensures accurate determination of both implant position and the degree of correction achieved by the osteotomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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