Osteotomies: the surgical treatment of the valgus knee.
Lateral compartment arthrosis from congenital valgus or the result of previous lateral meniscectomy can be a disabling condition. Realignment osteotomy, which may avoid or delay the need for a total knee replacement, is appropriate for young or middle-aged patients suffering from a painful valgus knee. Medium or large corrections can be managed with distal femoral lateral opening wedge osteotomy while minimal deformities are best treated with medial closing wedge tibial osteotomy.
Puddu
Giancarlo
G
Clinica Valle Giulia, Via De Notaris 2b, 00197 Roma, Italy. giapu@tin.it
Cipolla
Massimo
M
Cerullo
Guglielmo
G
Franco
Vittorio
V
Giannì
Enrico
E
D000293:Adolescent; D000328:Adult; D017760:Bone Malalignment / Q000150:complications* / Q000151:congenital / Q000000981:diagnostic imaging; D001860:Bone Plates; D005260:Female; D005269:Femur / Q000601:surgery; D005471:Fluoroscopy; D005500:Follow-Up Studies; D006801:Humans; D016916:Joint Deformities, Acquired / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D010147:Pain Measurement; D017060:Patient Satisfaction; D016059:Range of Motion, Articular / Q000502:physiology; D018570:Risk Assessment; D013977:Tibia / Q000601:surgery; D016896:Treatment Outcome