Around-the-knee osteotomies part II: Surgical indications, techniques and outcomes - State of the art
- PMID: 38604568
- DOI: 10.1016/j.jisako.2024.04.002
Around-the-knee osteotomies part II: Surgical indications, techniques and outcomes - State of the art
Abstract
Recent advances in surgical techniques and planning for knee-based osteotomies have led to improvements in addressing lower extremity malalignment. Part 1 of this review presented the biomechanical and clinical rationale of osteotomies, emphasizing the importance of osteotomies for restoring normal knee kinematics. In Part 2 of this review, indications, surgical technique and outcomes of osteotomies to correct coronal, sagittal and axial plane deformities will be examined. Traditional high tibial and distal femoral osteotomies will be discussed in addition to more recent advanced techniques including biplanar corrections and double-level osteotomies, as well as slope-correcting osteotomies. Patient-specific instrumentation and its use in more complex corrections will also be addressed.
Keywords: Coronal alignment; Double-level osteotomies; High tibial osteotomies; Joint line obliquity; Posterior tibial slope.
Copyright © 2024 The Authors. Published by Elsevier Inc. All rights reserved.
Conflict of interest statement
Declaration of competing interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Matthieu Ollivier reports a relationship with Newclip Technics that includes: consulting or advisory. Matthieu Ollivier reports a relationship with Stryker that includes: consulting or advisory. Matthieu Ollivier reports a relationship with Zimmer Inc that includes: consulting or advisory. Al Getgood is a board or committee member for ACL Study Group and the International Society of Arthroscopy, Knee Surgery, and Orthopaedic Sports Medicine (ISAKOS). Alan Getgood is a member of the editorial board of the American Journal of Sports Medicine and Knee Surgery, Sports Traumatology, Arthroscopy. Al Getgood reports research support from Aesculap/B. Braun, Arthrex, Inc, DePuy, Johnson & Johnson Company, Eupraxia Pharmaceuticals Inc, Musculoskeletal Transplant Foundation, and Ossur. Al Getgood has received IP royalties from Graymont Inc and are involved in companies like LinkX Robotics, Ostesys Robotics, Precision OS, and Spring Loaded Technologies Inc, with stock or stock options. Al Getgood also has also received paid consulting/presenting/speaking fees and research support from Smith & Nephew. Volker Musahl reports a relationship with Smith and Nephew Inc that includes: consulting or advisory, funding grants, and speaking and lecture fees. Volker Musahl reports a relationship with Arthrex Inc that includes: funding grants. Volker Musahl reports a relationship with DePuy Synthes that includes: funding grants. Volker Musahl reports a relationship with Newclip Technics that includes: consulting or advisory. Volker Musahl reports a relationship with International Society of Arthroscopy Knee Surgery and Orthopaedic Sports Medicine that includes: board membership. Volker Musahl has patent #9,949,684 issued to U.S. Patent. Matthieu Ollivier reports royalties from Newclip, Stryker and Zimmer. Volker Musahl is deputy editor-in-chief of Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA). If there are other authors, they declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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