[Tibial valgus osteotomy].
The tibial valgus osteotomy whatever its technique has a survival rate of about 85 % to 10 years, if we consider the reoperation as a criterion of failure, with a confidence index at 78%. The age, weight, sex and functional signs have no impact on the outcome. We have found no evidence in the preoperative radiographic assessment, neither the medial pinch, or varus epiphyseal neither varisant gap, which could be a failure and a reoperation before the tenth year. Good results were observed significantly when there is an over-valgus at least 3 degrees of global axis of the lower limb. This corresponds to a valgus epiphyseal by more than 2 degrees . The substantial reduction in the gap varisant that lowers the overall time varisant below 200 kg cm provides the same positive results. The outcome will depend directly on the accuracy of the calculation of the preoperative correction performed and the quality of surgical achievement. Because of the need for precision, navigation technique appears as reliable, simple which makes it also possible to monitor the front slope and tibial rotation induced. The osteosynthesis must be stable and rigid to avoid postoperative loss of correction.
Service de chirurgie orthopédique et traumatologique, CHU Cavale-Blanche, boulevard Tanguy-Prigent, 29269 Brest cedex, France. frederic.dubrana@chu-brest.fr
F
F
Dubrana
G
G
Lecerf
J-P
JP
Nguyen-Khanh
R
R
Menard
L
L
Ardouin
Y
Y
Gibon
L
L
Pidhorz
V
V
Falaise
P
P
Coipeau
P
P
Burdin
J-L
JL
Rouvillain
T
T
Navarre
E
E
Garron
W
W
Daoud
H
H
Louboutin
G
G
Moineau
L
L
Wessely
E
E
Stindel
R
R
Debarge
S
S
Lustig
F
F
Lavoie
P
P
Neyret
D000328:Adult; D000368:Aged; D016001:Confidence Intervals; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007719:Knee Joint / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D011183:Postoperative Complications; D011859:Radiography; D012086:Reoperation; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome