Loading…
Medial epicondyle osteotomy: a method of choice in severe varus knee arthroplasty
The purpose of this study was to evaluate the results of total knee arthroplasty (TKA) after using medial epicondyle osteotomy (MEO) as a balancing method for severe varus deformity and also to compare these results with those of TKA after using additional resection of the tibial medial plateau to c...
Saved in:
| Published in: | European journal of orthopaedic surgery & traumatology 2012-10, Vol.22 (7), p.579-583 |
|---|---|
| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003 |
| container_end_page | 583 |
| container_issue | 7 |
| container_start_page | 579 |
| container_title | European journal of orthopaedic surgery & traumatology |
| container_volume | 22 |
| creator | Orban, Horia Stan, Gabriel Dragusanu, Mihaela Adam, Razvan |
| description | The purpose of this study was to evaluate the results of total knee arthroplasty (TKA) after using medial epicondyle osteotomy (MEO) as a balancing method for severe varus deformity and also to compare these results with those of TKA after using additional resection of the tibial medial plateau to correct this deformity. A total of 60 knees with severe varus deformity underwent TKA between 2006 and 2010. In 30 cases, we used MEO as a balancing method, and in other 30, additional medial tibial plateau resection was performed. The clinical outcomes were measured with the Knee Society score (KSS), the range of the motion and frontal laxity of the knee. The radiological outcomes were measured by anteroposterior simple radiographs to assess: the union state of the osteotomy site, the amount of resected tibial medial plateau bone and the femorotibial angle. The findings of the study show that in the MEO group the KSS improved from 21.13 ± 13.6 to 92.1 ± 7.6 points (
P
|
| doi_str_mv | 10.1007/s00590-011-0895-6 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2837207566</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2837207566</sourcerecordid><originalsourceid>FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMouK7-AG8Bz9FJ06RZb7L4BSsi6DmEZOJ27TY16S7039ulgidPM4f3eYd5CLnkcM0BqpsMIBfAgHMGeiGZOiIzXoqCcVD6eNyVEEyDkqfkLOcNAJcLLmfk7QV9bRuKXe1i64cGacw9xj5uh1tq6Rb7dfQ0BurWsXZI65Zm3GNCurdpl-lXi0ht6tcpdo3N_XBOToJtMl78zjn5eLh_Xz6x1evj8_JuxZzgqmdaiOB8AQo0LwFQanTSgi-D9iJIGxzX3oEsq_ENDaX2vAgcPNiqqhyAmJOrqbdL8XuHuTebuEvteNIUWlQFVFKpMcWnlEsx54TBdKne2jQYDuZgzkzmzGjOHMyZA1NMTB6z7Semv-b_oR8cenA0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2837207566</pqid></control><display><type>article</type><title>Medial epicondyle osteotomy: a method of choice in severe varus knee arthroplasty</title><source>Springer Nature</source><creator>Orban, Horia ; Stan, Gabriel ; Dragusanu, Mihaela ; Adam, Razvan</creator><creatorcontrib>Orban, Horia ; Stan, Gabriel ; Dragusanu, Mihaela ; Adam, Razvan</creatorcontrib><description>The purpose of this study was to evaluate the results of total knee arthroplasty (TKA) after using medial epicondyle osteotomy (MEO) as a balancing method for severe varus deformity and also to compare these results with those of TKA after using additional resection of the tibial medial plateau to correct this deformity. A total of 60 knees with severe varus deformity underwent TKA between 2006 and 2010. In 30 cases, we used MEO as a balancing method, and in other 30, additional medial tibial plateau resection was performed. The clinical outcomes were measured with the Knee Society score (KSS), the range of the motion and frontal laxity of the knee. The radiological outcomes were measured by anteroposterior simple radiographs to assess: the union state of the osteotomy site, the amount of resected tibial medial plateau bone and the femorotibial angle. The findings of the study show that in the MEO group the KSS improved from 21.13 ± 13.6 to 92.1 ± 7.6 points (
P
< 0.001). Moreover, the range of motion increased from 70.3° ± 25.3° to 109.3° ± 12.7° (
P
< 0.001). The femorotibial angle was corrected from a 22.6° ± 5.71° varus to a 4.0° ± 1.38° valgus (
P
< 0.001) and frontal laxity decreased from 10.83° ± 3.9° to 0.33° ± 1.2° (
P
< 0.001). No statistically significant differences were found between groups regarding the postoperative outcomes of KSS, range of motion, femorotibial angle and frontal laxity. The amount of resected tibial medial plateau bone was statistically significantly smaller in the MEO group (1.63 ± 0.96 mm in the MEO group and 4.73 ± 2.7 mm in the other group;
P
< 0.001). In the MEO group, the mean thickness of the polyethylene insert was 12.66 ± 1.21 mm, while in the second group, it was 13.73 ± 1.59 mm, with statistically significant
P
= 0.005. Fibrous union occurred in all knees in the MEO group. Using medial epicondyle osteotomy for varus knee when performing total knee arthroplasty could be a useful ligament-balancing technique to achieve medial stability of the knee. In addition, it could have considerable advantages towards the additional resection of the tibial medial plateau.</description><identifier>ISSN: 1633-8065</identifier><identifier>EISSN: 1432-1068</identifier><identifier>DOI: 10.1007/s00590-011-0895-6</identifier><language>eng</language><publisher>Paris: Springer-Verlag</publisher><subject>Joint replacement surgery ; Knee ; Medicine ; Medicine & Public Health ; Original Article ; Range of motion ; Surgical Orthopedics ; Traumatic Surgery</subject><ispartof>European journal of orthopaedic surgery & traumatology, 2012-10, Vol.22 (7), p.579-583</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2011.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003</citedby><cites>FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Orban, Horia</creatorcontrib><creatorcontrib>Stan, Gabriel</creatorcontrib><creatorcontrib>Dragusanu, Mihaela</creatorcontrib><creatorcontrib>Adam, Razvan</creatorcontrib><title>Medial epicondyle osteotomy: a method of choice in severe varus knee arthroplasty</title><title>European journal of orthopaedic surgery & traumatology</title><addtitle>Eur J Orthop Surg Traumatol</addtitle><description>The purpose of this study was to evaluate the results of total knee arthroplasty (TKA) after using medial epicondyle osteotomy (MEO) as a balancing method for severe varus deformity and also to compare these results with those of TKA after using additional resection of the tibial medial plateau to correct this deformity. A total of 60 knees with severe varus deformity underwent TKA between 2006 and 2010. In 30 cases, we used MEO as a balancing method, and in other 30, additional medial tibial plateau resection was performed. The clinical outcomes were measured with the Knee Society score (KSS), the range of the motion and frontal laxity of the knee. The radiological outcomes were measured by anteroposterior simple radiographs to assess: the union state of the osteotomy site, the amount of resected tibial medial plateau bone and the femorotibial angle. The findings of the study show that in the MEO group the KSS improved from 21.13 ± 13.6 to 92.1 ± 7.6 points (
P
< 0.001). Moreover, the range of motion increased from 70.3° ± 25.3° to 109.3° ± 12.7° (
P
< 0.001). The femorotibial angle was corrected from a 22.6° ± 5.71° varus to a 4.0° ± 1.38° valgus (
P
< 0.001) and frontal laxity decreased from 10.83° ± 3.9° to 0.33° ± 1.2° (
P
< 0.001). No statistically significant differences were found between groups regarding the postoperative outcomes of KSS, range of motion, femorotibial angle and frontal laxity. The amount of resected tibial medial plateau bone was statistically significantly smaller in the MEO group (1.63 ± 0.96 mm in the MEO group and 4.73 ± 2.7 mm in the other group;
P
< 0.001). In the MEO group, the mean thickness of the polyethylene insert was 12.66 ± 1.21 mm, while in the second group, it was 13.73 ± 1.59 mm, with statistically significant
P
= 0.005. Fibrous union occurred in all knees in the MEO group. Using medial epicondyle osteotomy for varus knee when performing total knee arthroplasty could be a useful ligament-balancing technique to achieve medial stability of the knee. In addition, it could have considerable advantages towards the additional resection of the tibial medial plateau.</description><subject>Joint replacement surgery</subject><subject>Knee</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Range of motion</subject><subject>Surgical Orthopedics</subject><subject>Traumatic Surgery</subject><issn>1633-8065</issn><issn>1432-1068</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1kE1LxDAQhoMouK7-AG8Bz9FJ06RZb7L4BSsi6DmEZOJ27TY16S7039ulgidPM4f3eYd5CLnkcM0BqpsMIBfAgHMGeiGZOiIzXoqCcVD6eNyVEEyDkqfkLOcNAJcLLmfk7QV9bRuKXe1i64cGacw9xj5uh1tq6Rb7dfQ0BurWsXZI65Zm3GNCurdpl-lXi0ht6tcpdo3N_XBOToJtMl78zjn5eLh_Xz6x1evj8_JuxZzgqmdaiOB8AQo0LwFQanTSgi-D9iJIGxzX3oEsq_ENDaX2vAgcPNiqqhyAmJOrqbdL8XuHuTebuEvteNIUWlQFVFKpMcWnlEsx54TBdKne2jQYDuZgzkzmzGjOHMyZA1NMTB6z7Semv-b_oR8cenA0</recordid><startdate>20121001</startdate><enddate>20121001</enddate><creator>Orban, Horia</creator><creator>Stan, Gabriel</creator><creator>Dragusanu, Mihaela</creator><creator>Adam, Razvan</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope></search><sort><creationdate>20121001</creationdate><title>Medial epicondyle osteotomy: a method of choice in severe varus knee arthroplasty</title><author>Orban, Horia ; Stan, Gabriel ; Dragusanu, Mihaela ; Adam, Razvan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Joint replacement surgery</topic><topic>Knee</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Range of motion</topic><topic>Surgical Orthopedics</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Orban, Horia</creatorcontrib><creatorcontrib>Stan, Gabriel</creatorcontrib><creatorcontrib>Dragusanu, Mihaela</creatorcontrib><creatorcontrib>Adam, Razvan</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><jtitle>European journal of orthopaedic surgery & traumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orban, Horia</au><au>Stan, Gabriel</au><au>Dragusanu, Mihaela</au><au>Adam, Razvan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Medial epicondyle osteotomy: a method of choice in severe varus knee arthroplasty</atitle><jtitle>European journal of orthopaedic surgery & traumatology</jtitle><stitle>Eur J Orthop Surg Traumatol</stitle><date>2012-10-01</date><risdate>2012</risdate><volume>22</volume><issue>7</issue><spage>579</spage><epage>583</epage><pages>579-583</pages><issn>1633-8065</issn><eissn>1432-1068</eissn><abstract>The purpose of this study was to evaluate the results of total knee arthroplasty (TKA) after using medial epicondyle osteotomy (MEO) as a balancing method for severe varus deformity and also to compare these results with those of TKA after using additional resection of the tibial medial plateau to correct this deformity. A total of 60 knees with severe varus deformity underwent TKA between 2006 and 2010. In 30 cases, we used MEO as a balancing method, and in other 30, additional medial tibial plateau resection was performed. The clinical outcomes were measured with the Knee Society score (KSS), the range of the motion and frontal laxity of the knee. The radiological outcomes were measured by anteroposterior simple radiographs to assess: the union state of the osteotomy site, the amount of resected tibial medial plateau bone and the femorotibial angle. The findings of the study show that in the MEO group the KSS improved from 21.13 ± 13.6 to 92.1 ± 7.6 points (
P
< 0.001). Moreover, the range of motion increased from 70.3° ± 25.3° to 109.3° ± 12.7° (
P
< 0.001). The femorotibial angle was corrected from a 22.6° ± 5.71° varus to a 4.0° ± 1.38° valgus (
P
< 0.001) and frontal laxity decreased from 10.83° ± 3.9° to 0.33° ± 1.2° (
P
< 0.001). No statistically significant differences were found between groups regarding the postoperative outcomes of KSS, range of motion, femorotibial angle and frontal laxity. The amount of resected tibial medial plateau bone was statistically significantly smaller in the MEO group (1.63 ± 0.96 mm in the MEO group and 4.73 ± 2.7 mm in the other group;
P
< 0.001). In the MEO group, the mean thickness of the polyethylene insert was 12.66 ± 1.21 mm, while in the second group, it was 13.73 ± 1.59 mm, with statistically significant
P
= 0.005. Fibrous union occurred in all knees in the MEO group. Using medial epicondyle osteotomy for varus knee when performing total knee arthroplasty could be a useful ligament-balancing technique to achieve medial stability of the knee. In addition, it could have considerable advantages towards the additional resection of the tibial medial plateau.</abstract><cop>Paris</cop><pub>Springer-Verlag</pub><doi>10.1007/s00590-011-0895-6</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1633-8065 |
| ispartof | European journal of orthopaedic surgery & traumatology, 2012-10, Vol.22 (7), p.579-583 |
| issn | 1633-8065 1432-1068 |
| language | eng |
| recordid | cdi_proquest_journals_2837207566 |
| source | Springer Nature |
| subjects | Joint replacement surgery Knee Medicine Medicine & Public Health Original Article Range of motion Surgical Orthopedics Traumatic Surgery |
| title | Medial epicondyle osteotomy: a method of choice in severe varus knee arthroplasty |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-21T10%3A17%3A29IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Medial%20epicondyle%20osteotomy:%20a%20method%20of%20choice%20in%20severe%20varus%20knee%20arthroplasty&rft.jtitle=European%20journal%20of%20orthopaedic%20surgery%20&%20traumatology&rft.au=Orban,%20Horia&rft.date=2012-10-01&rft.volume=22&rft.issue=7&rft.spage=579&rft.epage=583&rft.pages=579-583&rft.issn=1633-8065&rft.eissn=1432-1068&rft_id=info:doi/10.1007/s00590-011-0895-6&rft_dat=%3Cproquest_cross%3E2837207566%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c316t-833fcd206081400e58ec5a0d4f8d3f5afc18dc05471438048d12f10d0a777c003%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2837207566&rft_id=info:pmid/&rfr_iscdi=true |