Abstract
Osteotomy is one of the more ancient orthopaedic procedures still used today. Today, new knowledge and technology about bone healing and better fixations to accelerate postoperative management have allowed high tibial osteotomy to become a useful procedure for active patients younger than 60 years of age with symptomatic unicompartmental disease and osseous deformity of the knee. An important advantage of this procedure is the possibility of combining with it the articular cartilage procedure (osteochondral grafts, autologous chondrocyte implantation), meniscus transplantation, or ligament reconstruction. The 2 main techniques to produce valgus realignment of the knee are lateral closing wedge osteotomy and medial opening wedge osteotomy. We also can perform elevation osteotomy in posttraumatic cases and procurvation osteotomy to correct genu recurvatum. Most complications resulting from osteotomy can be avoided by careful patient selection and accurate preoperative planning. Therefore, the role of high tibial osteotomy is not only curative as in treating cartilage damage and posttraumatic axial deviation in patients older than 50 years but also preventive in degenerative joint diseases of young patients with congenital or posttraumatic axial deviation or anatomical deformation of the knee joint.
| Original language | English |
|---|---|
| Pages (from-to) | 22-28 |
| Number of pages | 7 |
| Journal | Operative Techniques in Orthopaedics |
| Volume | 17 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - Jan 2007 |
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Keywords
- arthrosis
- axial deviation
- fixation
- knee
- osteotomy
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
Cite this
High Tibial Osteotomy : The Italian Experience. / Marcacci, Maurilio; Zaffagnini, Stefano; Giordano, Giovanni; Muccioli, Giulio Maria Marcheggiani; Bruni, Danilo; Halvadjian, Robert.
In: Operative Techniques in Orthopaedics, Vol. 17, No. 1, 01.2007, p. 22-28.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - High Tibial Osteotomy
T2 - The Italian Experience
AU - Marcacci, Maurilio
AU - Zaffagnini, Stefano
AU - Giordano, Giovanni
AU - Muccioli, Giulio Maria Marcheggiani
AU - Bruni, Danilo
AU - Halvadjian, Robert
PY - 2007/1
Y1 - 2007/1
N2 - Osteotomy is one of the more ancient orthopaedic procedures still used today. Today, new knowledge and technology about bone healing and better fixations to accelerate postoperative management have allowed high tibial osteotomy to become a useful procedure for active patients younger than 60 years of age with symptomatic unicompartmental disease and osseous deformity of the knee. An important advantage of this procedure is the possibility of combining with it the articular cartilage procedure (osteochondral grafts, autologous chondrocyte implantation), meniscus transplantation, or ligament reconstruction. The 2 main techniques to produce valgus realignment of the knee are lateral closing wedge osteotomy and medial opening wedge osteotomy. We also can perform elevation osteotomy in posttraumatic cases and procurvation osteotomy to correct genu recurvatum. Most complications resulting from osteotomy can be avoided by careful patient selection and accurate preoperative planning. Therefore, the role of high tibial osteotomy is not only curative as in treating cartilage damage and posttraumatic axial deviation in patients older than 50 years but also preventive in degenerative joint diseases of young patients with congenital or posttraumatic axial deviation or anatomical deformation of the knee joint.
AB - Osteotomy is one of the more ancient orthopaedic procedures still used today. Today, new knowledge and technology about bone healing and better fixations to accelerate postoperative management have allowed high tibial osteotomy to become a useful procedure for active patients younger than 60 years of age with symptomatic unicompartmental disease and osseous deformity of the knee. An important advantage of this procedure is the possibility of combining with it the articular cartilage procedure (osteochondral grafts, autologous chondrocyte implantation), meniscus transplantation, or ligament reconstruction. The 2 main techniques to produce valgus realignment of the knee are lateral closing wedge osteotomy and medial opening wedge osteotomy. We also can perform elevation osteotomy in posttraumatic cases and procurvation osteotomy to correct genu recurvatum. Most complications resulting from osteotomy can be avoided by careful patient selection and accurate preoperative planning. Therefore, the role of high tibial osteotomy is not only curative as in treating cartilage damage and posttraumatic axial deviation in patients older than 50 years but also preventive in degenerative joint diseases of young patients with congenital or posttraumatic axial deviation or anatomical deformation of the knee joint.
KW - arthrosis
KW - axial deviation
KW - fixation
KW - knee
KW - osteotomy
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UR - http://www.scopus.com/inward/citedby.url?scp=33846680975&partnerID=8YFLogxK
U2 - 10.1053/j.oto.2006.07.001
DO - 10.1053/j.oto.2006.07.001
M3 - Article
VL - 17
SP - 22
EP - 28
JO - Operative Techniques in Orthopaedics
JF - Operative Techniques in Orthopaedics
SN - 1048-6666
IS - 1
ER -