nach oben

International Orthopaedics

Erschienen in:

01.02.2010 | Review

Closing wedge osteotomy of the tibia and the femur in the treatment of gonarthrosis

verfasst von: Courtney Sherman, Miguel E. Cabanela

Erschienen in: International Orthopaedics | Ausgabe 2/2010

Einloggen, um Zugang zu erhalten

Abstract

New developments in osteotomy techniques and methods of fixation have caused a renewed interest in closing wedge osteotomies of the tibia and femur in the treatment of gonarthrosis. The rationale, definition and techniques of closing wedge tibial and femoral osteotomies in the treatment of gonarthrosis are discussed. The principal indications include unicompartmental medial and much less so, varus knee gonarthrosis and unicompartmental lateral or valgus knee gonarthrosis with a well-maintained range of motion in patients who are physiologically young. Newer techniques have provided more rigid fixation and improved accuracy of correction.

Jackson JP (1958) Osteotomy for osteoarthritis of the knee. J Bone Jone Surg Br 40:826

Coventry MB, Ilstrup DM, Wallrichs SL (1993) Proximal tibial osteotomy: a critical long-term study of eighty-seven cases. J Bone Joint Surg Am 75:196–201PubMed

Insall JN, Joseph DM, Msika C (1984) High tibial osteotomy for varus gonarthrosis: a long term follow up study. J Bone Joint Surg Am 64:1040–1048

Haddad FS, Bentley G (2000) Total knee arthroplasty after high tibial osteotomy: a medium-term review. J Arthroplasty 15(5):597–603CrossRefPubMed

Trousdale RT (2002) Osteotomy: patient selection, preoperative planning and results. In: Callaghan JJ, Rosenberg AG, Rubash HE et al (eds) The adult knee. Lippincott Williams & Wilkins, Philadelphia, pp 985–990

Dugdale TW, Noyes FR, Styer D (1992) Preoperative planning for high tibial osteotomy. The effect of lateral tibiofemoral separation and tibiofemoral length. Clin Orthop 274:248–64

Marti RK, Verhagen RA, Kerkhoffs GM, Moojen TM (2001) Proximal tibial varus osteotomy: indications, technique, and five- to twenty-one year results. J Bone Joint Surg Am 83:164–170PubMed

Dowd GSE, Somayaji HS, Uthukuri M (2006) High tibial osteotomy for medial compartment osteoarthritis. The Knee 13:87–92CrossRefPubMed

Keene JS, Dyreby JR (1983) High tibial osteotomy in the treatment of osteoarthritis of the knee: the role of preoperative arthroscopy. J Bone Joint Surg Am 65:36–42PubMed

10.

Coventry MB (1987) Proximal tibial varus osteotomy for osteoarthritis of the lateral compartment of the knee. J Bone Joint Surg Am 69:32–38PubMed

11.

Wright JM, Crockett HC, Slawski DP et al (2005) High tibial osteotomy. J Am Acad Orthop Surg 13:279–289PubMed

12.

Sasaki T, Yagi T, Monji J, Yasuda K, Tsuge H (1986) High tibial osteotomy combined with anterior displacement of the tibial tubercle for osteoarthritis of the knee. Int Orthop 10:31–40PubMed

13.

Saito T, Takeuchi R, Ara Y, Yoshida T, Koshino T (2002) High tibial osteotomy with anterior advancement of distal fragment for medial and patellofemoral compartment osteoarthritis of the knee. Knee 9:127–132CrossRefPubMed

14.

Hofmann AA, Wyatt RW, Jones RE (1984) Combined Coventry-Maquet procedure for two-compartment degenerative arthritis. Clin Orthop 190:186–191PubMed

15.

Christodoulou NA, Tsaknis RN, Sdrenias CV et al (2005) Improvement of proximal tibial osteotomy results by lateral retinacular release. Clin Orthop 441:340–345CrossRefPubMed

16.

Noyes RF, Roberts CS (1995) High tibial osteotomy in knees with associated chronic ligament deficiencies. In: Jackson DW (ed) Master techniques in orthopaedic surgery: reconstructive knee surgery. Raven Press, New York, pp 185–210

17.

Amendola A, Panarella L (2005) High tibial osteotomy for the treatment of unicompartmental arthritis of the knee. Orthop Clin North Am 36:497–504CrossRefPubMed

18.

Rosenberg TD, Paulos LE, Parker RD et al (1988) The forty-five degree posteroanterior flexion weight-bearing radiograph of the knee. J Bone Joint Surg Am 70:1479–1483PubMed

19.

Babis GC, An K, Chao Edmund YS, Larson DR, Rand JA, Sim FH (2008) Upper tibial osteotomy: long term results – realignment analysis using OASIS computer software. J Orthop Sci 13:328–334CrossRefPubMed

20.

Baur W (2007) Imageless navigated high tibial osteotomy in closing-wedge technique treating knees with varus gonarthrosis. In: CAOS (Computer Assisted Orthopaedic Surgery). Heidelberg, Germany, June 20-23, 2007, 7th Annual Meeting of CAOS International Proceedings, Abstract book, pp 712–713

21.

Bae DK, Song SJ, Noh JH, Chang WS, Jung KY (2008) Navigation versus radiographic measurements in the open-wedge and closed-wedge high tibial osteotomy. Using computer assisted surgery (CAS). In: CAOS (Computer Assisted Orthopaedic Surgery). Hong Kong, China, June 4–7, 2008. 8th Annual Meeting of CAOS-International Proceedings, Abstract book, pp 310–311

22.

Saragaglia D, Mercier N, Colle PE (2009) Computer-assisted osteotomies for genu varum deformity: which osteotomy for which varus? Int Orthop. doi:10.1007/s00264-009-0757-6

23.

Saragaglia D, Pradel Ph, Picard F (2004) L’osteotomie de valgisation asistee par ordinateur dans le genu varum arthrosique: resultants radiologiques d’une etude cas-temoin de 56 cas. E-memoires de l’Academie Nationale de Chirurgie 3:21–25, Available at http://www.bium.univ-paris5.fr/acad-chirurgie. Accessed 22 September 2009

24.

Saragaglia D, Roberts J (2005) Navigated osteotomies around in the knee in 170 patients with osteoarthritis secondary to genu varum. Orthopaedics 28(suppl 10):S1269–S1274

25.

Coventry MB (1985) Upper tibial osteotomy for osteoarthritis. J Bone Joint Surg Am 67:1136–1140PubMed

26.

Puddu G, Cipolla M, Cerullo G, Franco V, Gianni E (2007) Osteotomies: the surgical treatment of the valgus knee. Sports Med Arthrosc Rev 15:15–22CrossRef

27.

Slawski DP (1997) High tibial osteotomy in the treatment of adult osteochondritis dissecans. Clin Orthop 341:155–161PubMed

28.

Cole AS, Flynn JR (2005) Osteotomies about the knee. In: Oxford textbook of orthopaedics and trauma. In: Bulstrode C, Buckwalter JA, Carr A, Marsh L, Fairbank J, Wilson-Macdonald J Bowden G (eds) Oxford University Press, Oxford UK, pp 1117–1121

29.

Rinonapoli E, Manicini GB, Corvaglia A, Musiello S (1998) Tibial osteotomy for varus gonarthrosis. A 10- to 21-year follow-up study. Clin Orthop 353:185–193CrossRefPubMed

30.

Chambat P, Selmi TA, DeJour D, Denoyers J (2000) Varus tibial osteotomy. Oper Tech Sports Med 8:44–47CrossRef

31.

Brouwer RW, Bierma-Zeinstra SMA, van Raaij TM, Verhaar JAN (2006) Osteotomy for medial compartment arthritis of the knee using a closing wedge or an opening wedge controlled by a Puddu plate: a one-year randomized, controlled study. J Bone Joint Surg Br 88:1454–1459CrossRefPubMed

32.

Papp M, Szabo L et al (2009) Combined high tibial osteotomy decreases biomechanical changes radiologically detectable in the sagittal plane compared with closing-wedge osteotomy. Arthroscopy 25(4):355–364PubMedCrossRef

33.

Muller M, Strecker W (2008) Arthroscopy prior to osteotomy around the knee? Arch Orthop Trauma Surg 128(11):1217–1221CrossRefPubMed

34.

Brinkman JM, Lobenhoffer P, Agneskirchner JD, Staubli AE, Wymenga AB, van Heerwaarden RJ (2008) Osteotomies around the knee: patient selection, stability of fixation and bone healing in high tibial osteotomies. J Bone Join Surg Br 90:1548–1557CrossRef

35.

Billings A, Scott DF, Camargo MP, Hofmann AA (2000) High tibial osteotomy with a calibrated osteotomy guide, rigid internal fixation, and early motion: long-term follow-up. J Bone Joint Surg Am 82:70–79PubMed

36.

Hofmann AA, Wyatt RW, Beck SW (1991) High tibial osteotomy: use of an osteotomy jib, rigid fixation and early motion versus conventional surgical technique and cast immobilization. Clin Orthop 271:212–217PubMed

37.

Scuderi GR, Windsor RE, Insall JN (1989) Observations on patellar height after proximal tibial osteotomy. J Bone Joint Surg Am 71:245–248PubMed

38.

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 354:169–174CrossRefPubMed

39.

Wright JM, Heavrin B, Begg M, Sakyrd G, Sterett W (2001) Observations on patellar height following opening wedge proximal tibial osteotomy. Am J Knee Surg 14:163–173PubMed

40.

Closkey RF, Windsor RE (2001) Alternations in the patella after a high tibial or distal femoral osteotomy. Clin Orthop 389:51–56CrossRefPubMed

41.

Zaidi SHA, Cobb AG, Bentley G (1995) Danger to the popliteal artery in high tibial osteotomy. J Bone Joint Surg Br 77(3):384–386PubMed

42.

Matthews LS, Goldstein SA, Malvitz A, Katz BP, Kaufer H (1988) Proximal tibial osteotomy: factors that influence the duration of satisfactory function. Clin Orthop 229:193–200PubMed

43.

Kessler OC, Jacob HA, Romero J (2002) Avoidance of medial cortical fracture in high tibial osteotomy: improved technique. Clin Orthop 395:180–185CrossRefPubMed

44.

Cass JR, Bryan RS (1988) High tibial osteotomy. Clin Orthop 230:196–199PubMed

45.

Warden SJ et al (2005) Delayed- and non-union following opening wedge high tibial osteotomy: surgeons’ results from 182 completed cases. Knee Surg Sports Traumatol Arthrosc 13:34–37CrossRefPubMed

46.

Rozbruch SR, Herzenberg JE, Tetsworth K et al (2002) Distraction osteogenesis for nonunion after high tibial osteotomy. Clin Orthop 394:227–235CrossRefPubMed

47.

Aydogdu S, Cullu E, Arac N, Varolgunes N, Sur H (2000) Prolonged peroneal nerve dysfunction after high tibial osteotomy: pre- and post-operative electrophysiological study. Knee Surg Sports Traumatol Arthosc 8:305–308CrossRef

48.

Aydogdu S, Yercan H, Saylam C, Sur H (1996) Peroneal nerve dysfunction after high tibial osteotomy: an anatomical cadaver study. Acta Ortho Belg 62:152–160

49.

Wootton JR, Ashworth MJ, MacLaren CA (1995) Neurological complications of high tibial osteotomy: The fibular osteotomy as a causative factor. A clinical and anatomical study. Ann R Coll Surg Engl 77:31–34

50.

Gibson MJ, Barnes MR, Allen MJ, Chan RN (1986) Weakness of foot dorsiflexion and changes in compartment pressures after tibial osteotomy. J Bone Joint Surg Br 68:471–475PubMed

51.

Marti CB, Jakob RP (1999) Accumulation of irrigation fluid in the calf as a complication during high tibial osteotomy combined with simultaneous arthroscopic anterior cruciate ligament reconstruction. Athroscopy 15:864–866CrossRef

52.

Geiger F, Schneider U, Lukoschek M et al (1999) External fixation in proximal tibial osteotomy: a comparison of three methods. Int Orthop 23:160–163CrossRefPubMed

53.

Weale AE, Lee AS, MacEachern AG (2001) High tibial osteotomy using a dynamic axial external fixator. Clin Orthop Relat Res 382:154–167CrossRefPubMed

54.

Turner RS, Griffiths H, Heatley FW (1993) The incidence of deep-vein thrombosis after upper tibial osteotomy: a venographic study. J Bone Joint Surg Br 75:942–944PubMed

55.

Naudie D, Bourne RB, Rorabeck CH et al (1999) The Insall Award: survivorship of the high tibial valgus osteotomy: a 10 to 22 year follow up study. Clin Orthop 367:18–27PubMed

56.

Holden DL, James SL, Larson RL, Slocum DB (1988) Proximal tibial osteotomy in patients who are fifty years old or less: a long-term follow up study. J Bone Joint Surg Am 70:977–982PubMed

57.

Wolcott M (2005) Osteotomies around the knee for the young athlete with osteoarthritis. Clin Sports Med 24:153–161CrossRefPubMed

58.

Wildner A, Peters A et al (1992) Complications of high tibial osteotomy and internal fixation with staples. Arch Orthop Trauma Surg 111:210–212CrossRefPubMed

59.

Virolainen P, Aro HT (2004) High tibial osteotomy for the treatment of osteoarthritis of the knee: a review of the literature and a meta-analysis of follow-up studies. Arch Orthop Trauma Surg 124:258–261CrossRefPubMed

60.

Majima T, Yasuda K, Katsuragi R, Kaneda K (2000) Progression of joint arthrosis 10 to 15 years after high tibial osteotomy. Clin Orthop 381:177–284CrossRefPubMed

61.

Flecher X, Parratte S et al (2006) A 12–28-year follow-up study of closing wedge high tibial osteotomy. Clin Orthop Relat Res 452:91–96CrossRefPubMed

62.

Sprenger TR, Doerzbacher JF (2003) Tibial osteotomy for the treatment of varus gonarthrosis: survival and failure analysis to twenty-two years. J Bone Joint Surg Am 85:469–474CrossRefPubMed

63.

Yasuda K, Majima T, Tsuchida T, Kaneda K (1992) A ten- to 15-year follow-up observation of high tibial osteotomy in medial compartment osteoarthrosis. Clin Orthop 282:186–195PubMed

64.

McDermott AG, Finklestein JA, Farine I, Boynton EL, MacIntosh DL, Gross A (1988) Distal femoral varus osteotomy for valgus deformity of the knee. J Bone Joint Surg Am 70:110–116PubMed

65.

Marti RK, Schroder J, Witteveen A (2000) The closed wedge varus supracondylar osteotomy. Operative Tech Sports Med 8:48–55CrossRef

66.

Jun-Wen W, Chia-Chen H (2005) Distal femoral varus osteotomy for osteoarthritis of the knee. J Bone Joint Surg Am 87:127–133CrossRef

67.

van Heerwaarden R, Wymenga A, Freiling D, Lobenhoffer P (2007) Distal medial closed wedge varus femur osteotomy stabilized with the TomoFix plate fixator. Oper Tech Orthop 17(1):12–21CrossRef

68.

Miniaci A, Grossman SP, Jacob RP (1990) Supracondylar femoral varus osteotomy in the treatment of valgus knee deformity. Am J Knee Surg 3:65–73

69.

Mathews J, Cob AG, Richardson S, Benley G (1998) Distal femoral osteotomy for lateral compartment osteoarthritis of the knee. Orthopedics 21(4):437–440PubMed

70.

Shoji H, Insall J (1973) High tibial osteotomy for osteoarthritis of the knee with valgus deformity. J Bone Joint Surg Am 55:963–973PubMed

Titel: Closing wedge osteotomy of the tibia and the femur in the treatment of gonarthrosis
verfasst von: Courtney Sherman
Miguel E. Cabanela
Publikationsdatum: 01.02.2010
Verlag: Springer-Verlag
Erschienen in: International Orthopaedics / Ausgabe 2/2010
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-009-0883-1

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 2/2010

Opening wedge tibial osteotomy for large varus deformity with CeraverTM resorbable beta tricalcium phosphate wedges

Bone allograft provides bone healing in the medial opening high tibial osteotomy

Which osteotomy for a valgus knee?

Correction accuracy and collateral laxity in open versus closed wedge high tibial osteotomy. A one-year randomised controlled study

Stability of medial opening wedge high tibial osteotomy: a failure analysis