Effects of sagittal tibial osteotomy on frontal alignment of the knee and patellar height.

Abstract:

AIM OF THE STUDY:The aim of this study was to evaluate the radiographic effect of sagittal tibial osteotomy (STO), flexion tibial osteotomy (FTO) and deflexion tibial osteotomy (DTO) around the knee. It has been hypothesized that proximal STO modifies patellar height and could cause varus/valgus changes of the anatomical tibial axis: The purpose of the study was to verify this and to analyse these modifications. METHOD:Patients underwent proximal STO in our department between 2007 and 2018: overall 28 consecutive patients (19 males, 9 females; 28 knees). Twelve patients underwent DTO, and 16 patients underwent FTO. Two independent observers measured the pre-operative and post-operative radiological indexes: posterior tibial slope, Caton-Deschamps Index (CDI) and Modified Insall-Salvati Index (MISI) in the lateral views; medial Tibial Plateau-Tibial Shaft (mTPTS) and medial Femoral Shaft-Tibial Shaft (mFTA) anatomical angles were measured in the frontal plane. RESULTS:No complications were reported at the average follow-up of 1.6 ± 1.1 years. The mean mTPTS significantly increased from 0.6° ± 2.4° pre-operatively to 2.9° ± 2.6° of varus post-operatively (DTO (pre-operative 0.3 ± 3.1°, post-operative 2.4 ± 2.1°, ns); FTO (pre-operative 0.9 ± 1.9°, post-operative 3.2 ± 3.0°, P < 0.05)). The mean mFTA significantly reduced from 186.2° ± 4.9° pre-operatively to 182.7° ± 3.9° post-operatively (DTO (pre-operative 183.4 ± 3.3°, post-operative 180.6 ± 3.5°, ns); FTO (pre-operative 188.5 ± 4.9°, post-operative 184.4 ± 3.4°, P < 0.05)). The overall analysis reported no differences statistically significant in patellar height indexes. DISCUSSION:The main finding of this study is that STO slightly modifies tibial anatomical axes. This finding is more evident in FTOs. This surgical technique, due to its design, does not influence the patellar height. The tibial tuberosity osteotomy, performed in most of the cases to better expose tibial metaphysis and to avoid patellar tendon damages, provides another benefit that is the possibility to easily preserve the native patellar height. CONCLUSION:Sagittal tibial osteotomies slightly modify tibial anatomical axes in frontal plan without influencing the patellar height. This surgical procedure resulted to be effective and reliable in correcting the sagittal knee alignment but reporting, particularly of FTO, varus changes of anatomical tibial axis.

journal_name

Int Orthop

authors

Luceri F,Basilico M,Batailler C,Randelli PS,Peretti GM,Servien E,Lustig S

doi

10.1007/s00264-020-04580-3

subject

Has Abstract

pub_date

2020-11-01 00:00:00

pages

2291-2298

issue

11

eissn

0341-2695

issn

1432-5195

pii

10.1007/s00264-020-04580-3

journal_volume

44

pub_type

杂志文章
  • Preservation of the knee joint in limb salvage of osteosarcoma in the proximal tibia. A case report.

    abstract::A 12-year-old boy with osteosarcoma in the proximal tibia underwent a successful limb-saving operation with preservation of the epiphyseal and articular cartilage of the proximal tibia as a result of his remarkable response to chemotherapy. There was no evidence of tumour invasion to the adjacent physis, as demonstrat...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050272

    authors: Amitani A,Yamazaki T,Sonoda J,Tanaka M,Hirata H,Katoh K,Uchida A

    更新日期:1998-01-01 00:00:00

  • Percutaneous discectomy of the lumbar spine.

    abstract::Ten patients with clinical and radiological evidence of herniated discs at lower lumbar levels were treated with partial discectomy by a lateral percutaneous approach. Eight patients had complete relief from radicular pain and were discharged within four days. They returned to normal daily activity within one month. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00271309

    authors: Caspi I,Ezra E,Nerubay J,Lin E,Tadmor R,Horoszovski H

    更新日期:1987-01-01 00:00:00

  • Flexor digitorum longus transfer and medial displacement calcaneal osteotomy for the treatment of stage II posterior tibial tendon dysfunction: kinematic and functional results of fifty one feet.

    abstract:PURPOSE:Stage II posterior tibial tendon dysfunction (PTTD) can be treated by flexor digitorum longus (FDL) tendon transfer and medial displacement calcaneal osteotomy (MDCO). Numerous authors have studied the clinical and radiographic results of this procedure. However, little is known about the kinematic changes. The...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-2071-6

    authors: Schuh R,Gruber F,Wanivenhaus A,Hartig N,Windhager R,Trnka HJ

    更新日期:2013-09-01 00:00:00

  • Weight bearing: its lack of effect on fracture healing.

    abstract::The load transmitted through fresh fractures of the tarsometatarsus of adult chickens was varied by 40% more, or less, than the body weight to determine the effect of load-bearing on fracture healing. The healing fracture was examined for size and strength at 14 days, but no significant differences were detected in an...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00268171

    authors: Riggins RS,Simanonok C,Lewis DW,Smith AH

    更新日期:1985-01-01 00:00:00

  • A clinical study of internal fixation, debridement and interbody thoracic fusion to treat thoracic tuberculosis via posterior approach only.

    abstract:PURPOSE:We evaluated the clinical efficacy and feasibility of one-stage posterior internal fixation, debridement and interbody thoracic fusion in the treatment of thoracic tuberculosis. METHODS:Sixty adult patients with monosegmental thoracic tuberculosis were studied retrospectively: 34 men and 26 women with an avera...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-011-1449-6

    authors: Zhang H,Huang S,Guo H,Ge L,Sheng B,Wang Y,Guo C,Tang M

    更新日期:2012-02-01 00:00:00

  • Short and long-arm fiberglass cast immobilization for displaced distal forearm fractures in children: a randomized controlled trial.

    abstract:PURPOSE:The aim of this study was to investigate whether short-arm fiberglass cast (SAC) immobilization provides fracture stabilization comparable to that of long-arm cast (LAC) treatment of displaced distal forearm fractures after closed reduction in paediatric patients. METHODS:A prospective, randomized, controlled ...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04800-w

    authors: Seiler M,Heinz P,Callegari A,Dreher T,Staubli G,Aufdenblatten C

    更新日期:2020-09-17 00:00:00

  • Knee flexion deformity from poliomyelitis treated by supracondylar femoral extension osteotomy.

    abstract::Between April 1979 and August 1993, we treated 39 patients (49 knees) with knee flexion deformity after Poliomyelitis. All were subjected to fractional hamstring lengthening and supracondylar femoral extension osteotomy in the same surgical procedure. The goal was to correct the deformity and fit the lower extremities...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-005-0007-5

    authors: de Moraes Barros Fucs PM,Svartman C,de Assumpção RM

    更新日期:2005-12-01 00:00:00

  • Bone-Albumin filling decreases donor site morbidity and enhances bone formation after anterior cruciate ligament reconstruction with bone-patellar tendon-bone autografts.

    abstract:PURPOSE:Donor site pain affects 32-43 % of patients after anterior cruciate ligament surgery when the autograft is freshly harvested bone-patellar tendon-bone tissue. Our aim was to compare functional and morphological differences between donor sites with and without serum albumin-coated bone allograft filling. METHOD...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3246-8

    authors: Schandl K,Horváthy DB,Doros A,Majzik E,Schwarz CM,Csönge L,Abkarovits G,Bucsi L,Lacza Z

    更新日期:2016-10-01 00:00:00

  • [Metastasis of an ameloblastoma to the iliac crest].

    abstract::A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00180180

    authors: Martin-Oliva X,Ballart-Gavila C,Fernandez-Suarez M,Navarro-Farre B,Valdes-del-Molino AP

    更新日期:1994-02-01 00:00:00

  • Inefficacy of autologous bone marrow concentrate in stage three osteonecrosis: a randomized controlled double-blind trial.

    abstract:PURPOSE:The fracture stage of non-traumatic osteonecrosis (ON stage 3) of the femoral head (ONFH) has an unfavourable prognosis frequently requiring total hip replacement (THR). The percentage could be lowered after core decompression. In earlier non-fracture ON stages, implantation of autologous bone marrow aspirate c...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-017-3650-8

    authors: Hauzeur JP,De Maertelaer V,Baudoux E,Malaise M,Beguin Y,Gangji V

    更新日期:2018-07-01 00:00:00

  • Anterior plating as a surgical alternative in the treatment of humeral shaft non-union.

    abstract::This study included 15 patients with humeral shaft fractures who had no clinical, radiological or bone scan signs of healing after eight months. The patients were followed for a mean of 35.8 months. No patient was lost to follow-up. Anterior plating of humeral shaft nonunion via an anterior approach was performed usin...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00264-009-0863-5

    authors: Livani B,Belangero W,Medina G,Pimenta C,Zogaib R,Mongon M

    更新日期:2010-10-01 00:00:00

  • Distal radius definitive epiphysiodesis for management of Kienböck´s disease in skeletally immature patients.

    abstract:PURPOSE:Kienböck's disease is an unusual pathology with unknown aetiology within the pediatric population. Several treatment options have been described in the literature; however, there are neither large series nor homogeneous studies that have clarified which treatment is best. The aim of this study was to describe f...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-012-1597-3

    authors: Jorge-Mora A,Pretell-Mazzini J,Marti-Ciruelos R,Andres-Esteban EM,Curto de la Mano A

    更新日期:2012-10-01 00:00:00

  • A biodegradable expansion plug for fixation of the coracoid bone block in the Bristow-Latarjet operation.

    abstract::In a prospective study, 33 patients with recurrent anterior dislocation of the shoulder were treated by a modified Bristow-Latarjet operation using a biodegradable poly-L-lactide expansion plug to fix the transferred coracoid bone block. The mean follow up was 12 months. No redislocations occurred. To assess incorpora...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF02484413

    authors: Pihlajamäki H,Böstman O,Rokkanen P

    更新日期:1994-04-01 00:00:00

  • Expansive laminoplasty for lumbar intradural lipoma.

    abstract::We evaluated the pre- and postoperative neurological state of 3 patients with lumbar intradural lipoma. Total resection of the lipoma in the cauda equina was impossible, and partial resection and expansive laminoplasty was carried out. Subsequent neural involvement may depend on the duration of symptoms rather than th...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s002640050147

    authors: Matsui H,Kanamori M,Miaki K

    更新日期:1997-01-01 00:00:00

  • Tendon injuries induced by exercise and anabolic steroids in experimental mice.

    abstract::The purpose of this study was to examine the effect of anabolic steroid hormones and exercise training on skeletal tendons. Female mice were exercised for 1 and 10 weeks in an endurance running programme on a treadmill. The altered ultrastructure of tendons caused by simultaneously administered anabolic steroid hormon...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00266702

    authors: Michna H

    更新日期:1987-01-01 00:00:00

  • Pre-operative virtual simulation and three-dimensional printing techniques for the surgical management of acetabular fractures.

    abstract:PURPOSE:Surgical treatment of acetabular fractures with plate fixation is challenging for orthopaedic surgeons because of variations of the surface curvature and complex fracture patterns of the acetabulum. We present our experience with pre-operative computer-assisted virtual simulation and three-dimensional (3D) prin...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-4111-8

    authors: Hsu CL,Chou YC,Li YT,Chen JE,Hung CC,Wu CC,Shen HC,Yeh TT

    更新日期:2019-08-01 00:00:00

  • An experimental study of nerve regeneration through chemically treated allografts.

    abstract::We carried out experiments in rabbits to determine whether treating nerve transplants with gradually increasing concentrations of ethanol, ether and ficin would inhibit the graft-host immune reaction to the allograft. After treatment with ethanol, the basal laminar scaffold of the Schwann cell remained intact and ther...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00183371

    authors: Hirasawa Y,Katsumi Y,Tamai K,Okada S,Tokioka T,Miyata T,Furuse M,Ide C

    更新日期:1990-01-01 00:00:00

  • Patellar resurfacing as a second stage procedure for persistent anterior knee pain after primary total knee arthroplasty.

    abstract:PURPOSE:Knee pain after total knee arthroplasty may be caused by an unresurfaced patella. Secondary isolated resurfacing of the previously unresurfaced patella in total knee arthroplasty remains controversial. The aim of this retrospective study was to evaluate the outcome after patellar resurfacing as a second stage p...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-011-1463-8

    authors: Daniilidis K,Vogt B,Gosheger G,Henrichs M,Dieckmann R,Schulz D,Hoell S

    更新日期:2012-06-01 00:00:00

  • Operative versus non-operative treatment for clavicle fracture: a meta-analysis.

    abstract:PURPOSE:The purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures. METHOD:Relevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central R...

    journal_title:International orthopaedics

    pub_type: 杂志文章,meta分析

    doi:10.1007/s00264-013-1871-z

    authors: Liu GD,Tong SL,Ou S,Zhou LS,Fei J,Nan GX,Gu JW

    更新日期:2013-08-01 00:00:00

  • A novel in vivo porcine model of intervertebral disc degeneration induced by cryoinjury.

    abstract:PURPOSE:Degenerative disc disease involves sequential events that lead to the loss of cells, a decrease in disc matrix production, disc dehydration, and alteration of its biomechanical properties. The aim of this study was to determine whether cryoinjury of the nucleus pulposus performed through endplate perforation co...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-018-3971-2

    authors: Flouzat-Lachaniette CH,Jullien N,Bouthors C,Beohou E,Laurent B,Bierling P,Dubory A,Rouard H

    更新日期:2018-09-01 00:00:00

  • Peroneal tendon dislocation in talus fracture and diagnostic value of fleck sign.

    abstract:INTRODUCTION:Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with cal...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-020-04534-9

    authors: Attia AK,Mahmoud K,Taha T,AlDahamsheh O,ElHessy AH,AlObaidi AS,Mekhaimar MM

    更新日期:2020-05-01 00:00:00

  • Bone morphogenetic protein-7 enhances bone-tendon integration in a murine in vitro co-culture model.

    abstract:PURPOSE:Bone-tendon healing following anterior cruciate ligament reconstruction is reportedly enhanced by bone morphogenetic protein (BMP)-7. To improve our understanding of the underlying biologic processes, we examined the effects of BMP-7 on region-specific gene expression in vitro. METHODS:A murine in vitro co-cul...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-015-2688-8

    authors: Schwarting T,Benölken M,Ruchholtz S,Frink M,Lechler P

    更新日期:2015-04-01 00:00:00

  • Retrospective analysis of the impact of symptom duration on prognosis in soft tissue sarcoma.

    abstract::The objective was to assess whether time to diagnosis is influenced by patient/tumour-related factors and whether or not duration of symptoms has any impact on survival in soft tissue sarcoma. The study was an analysis of prospectively collected data for patients treated at our centre over a 20-year period. Risk facto...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0319-8

    authors: Saithna A,Pynsent PB,Grimer RJ

    更新日期:2008-06-01 00:00:00

  • Delayed open reduction for supracondylar fractures of the humerus.

    abstract::Twenty children with grade IV supracondylar fractures of the humerus had an open reduction 11 to 17 days after injury. The delay was due to swelling and blisters. Most patients recovered a useful range of movement and there were no complications. A posterior approach with V-Y plasty of the triceps makes it easy to ali...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00192291

    authors: Lal GM,Bhan S

    更新日期:1991-01-01 00:00:00

  • Gait analysis after total hip replacement with hip resurfacing implant or Mallory-head Exeter prosthesis: a randomised controlled trial.

    abstract::A key to the analysis of function after total hip replacement (THR) is the ability to identify gait adaptations specific to design features and surgical procedures. In a randomised controlled design, we evaluated the mechanics of gait after THR with a hip resurfacing system or conventional prosthesis. We also investig...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验

    doi:10.1007/s00264-010-1040-6

    authors: Petersen MK,Andersen NT,Mogensen P,Voight M,Søballe K

    更新日期:2011-05-01 00:00:00

  • Effect of antibiotic loading on the shear strength at the stem-cement interface (Shear strength of antibiotic loaded cement).

    abstract::The purpose of this study was to investigate the effects of addition of antibiotics into cement powder on the shear properties of the cement-metal interface. The approach involved adding 800 mg of teicoplanin to 40 g bone cement powder in the t-800 group, 1,600 mg teicoplanin in the t-1,600 group, and no antibiotic in...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-007-0347-4

    authors: Kilicoglu O,Koyuncu LO,Ozden VE,Bozdag E,Sunbuloglu E,Yazicioglu O

    更新日期:2008-08-01 00:00:00

  • A method of treatment for nonunion after fractures using mesenchymal stromal cells loaded on collagen microspheres and incorporated into platelet-rich plasma clots.

    abstract:PURPOSE:There is evidence showing that mesenchymal stromal cells (MSC) may constitute a potential therapeutic strategy to induce bone regeneration. In this work, we investigate the capacity of autologous bone marrow (BM) MSC loaded on collagen microspheres (CM) and included into autologous platelet-rich plasma (PRP) cl...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-016-3130-6

    authors: Wittig O,Romano E,González C,Diaz-Solano D,Marquez ME,Tovar P,Aoun R,Cardier JE

    更新日期:2016-05-01 00:00:00

  • Unusual wrist injuries in India.

    abstract::We describe fives cases of an unusual type of injury to the wrist which has been seen in Sikhs, an ethnic population in India. It is caused by entrapment of the kara, an iron bangle, which is traditionally worn as one of five compulsory religious symbols. The injuries were an open transtriquetral palmar perilunar disl...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00210533

    authors: Mittal RL,Sharma RK

    更新日期:1991-01-01 00:00:00

  • [Long-term results of 2 uncemented acetabular cup components in total hip prosthesis].

    abstract::We have followed up 227 total hip replacements using a cementless minimadreporic prosthesis for an average of 9 1/2 years. Special attention was paid to the acetabular component, of which 2 types were used; 77 incorporated screw rings and 134 were stabilised by spikes. The screw prostheses were evaluated at an average...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/BF00180454

    authors: Schmitt D,Bigard O,Bresler F,Molé D,Bernard P

    更新日期:1993-12-01 00:00:00

  • Design, operative technique and ten-year results of the Hermes™ patellofemoral arthroplasty.

    abstract:PURPOSE:Recently, increased interest has developed for patellofemoral arthroplasty as treatment for isolated patellofemoral arthritis. However, there are very few reports of the experience with the modern generation of patellofemoral arthroplasties. The new patellofemoral arthroplasty Hermes design is described. The de...

    journal_title:International orthopaedics

    pub_type: 杂志文章

    doi:10.1007/s00264-013-2158-0

    authors: Hernigou P,Caton J

    更新日期:2014-02-01 00:00:00