Around-The-Knee Osteotomies Part II: Surgical Indications, Techniques, and Outcomes - State of the Art

Recent advances in surgical techniques and planning for knee-based osteotomies have led to improvements in addressing lower extremity malalignment. Part 1 of this review presented the biomechanical and clinical rationale of osteotomies, emphasizing the importance of osteotomies for restoring normal...

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Bibliographic Details
Published in:Journal of ISAKOS 2024-08, Vol.9 (4), p.658
Main Authors: Lott, Ariana, James, Michael G, Kaarre, Janina, Höger, Svenja, Kayaalp, M Enes, Ollivier, Matthieu, Getgood, Al, Hughes, Jonathan D, Musahl, Volker
Format: Article
Language:English
Subjects:
Coronal alignment
Double-level osteotomies
High tibial osteotomies
Joint line obliquity
Orthopedics
Ortopedi
Posterior tibial slope
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Summary:Recent advances in surgical techniques and planning for knee-based osteotomies have led to improvements in addressing lower extremity malalignment. Part 1 of this review presented the biomechanical and clinical rationale of osteotomies, emphasizing the importance of osteotomies for restoring normal knee kinematics. In Part 2 of this review, indications, surgical technique, and outcomes of osteotomies to correct coronal, sagittal, and axial plane deformities will be examined. Traditional high tibial and distal femoral osteotomies will be discussed in addition to more recent advanced techniques including biplanar corrections and double level osteotomies, as well as slope correcting osteotomies. Patient specific instrumentation and its use in more complex corrections will also be addressed.
ISSN:2059-7762
2059-7754
2059-7762
DOI:10.1016/j.jisako.2024.04.002