Osteotomies around the knee: patient selection, stability of fixation and bone healing in high tibial osteotomies.
New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixation stability and bone healing that has led to improved surgical techniques and a decrease of post-operative time to full weight-bearing.
Brinkman
J-M
JM
Department of Orthopaedics, Limb Deformity Reconstruction Unit, Sint Maartenskliniek, Hengstdal 3, 6522 JV, Nijmegen, The Netherlands.
Lobenhoffer
P
P
Agneskirchner
J D
JD
Staubli
A E
AE
Wymenga
A B
AB
van Heerwaarden
R J
RJ
D000328:Adult; D001696:Biomechanical Phenomena; D017760:Bone Malalignment / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000502:physiology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009984:Orthopedic Fixation Devices / Q000592:standards; D020370:Osteoarthritis, Knee / Q000503:physiopathology / Q000601:surgery*; D010027:Osteotomy / Q000379:methods* / Q000639:trends; D018579:Patient Selection; D011182:Postoperative Care; D017410:Practice Guidelines as Topic; D011379:Prognosis; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000502:physiology / Q000601:surgery*; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology