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Capella M, Risitano S, Sabatini L, Faccenda C, Barberis L, Camazzola D, Bosco F, Giustra F, Massè A. Tibial condylar valgus osteotomy for the treatment of intra-articular varus deformity of the knee. ANNALS OF JOINT 2022; 7:37. [PMID: 38529161 PMCID: PMC10929301 DOI: 10.21037/aoj-22-19] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 07/08/2022] [Indexed: 03/27/2024]
Abstract
The increasing incidence and distribution of primary and post-traumatic knee osteoarthritis (OA) in the young, active population has renewed interest in joint-preserving procedures. High tibial osteotomy (HTO) represents the most common treatment for medial knee OA associated with varus tibial deformity. However, deformities may also be related to intra-articular defects that an extra-articular procedure could not correct. The tibial condylar valgus osteotomy (TCVO) represents an intra-articular surgical technique for treating advanced medial knee OA with lateral joint subluxation. Currently, only a few papers with small samples and limited follow-up report the use of TCVO for the treatment of intra-articular deformities. Indications and operative techniques are various and not standardized. After an extensive search of PubMed, Scopus and Cochrane library, the main purpose of this paper is to summarize and discuss the indications, surgical techniques, and outcomes of intra-articular osteotomies while also reporting the preoperative planning and surgical procedure performed at our institution. These characteristics allow earlier weight-bearing and faster complete recovery. TCVO is an effective procedure to correct lower limbs' intra-articular defects from degenerative conditions developmental and post-traumatic deformities. This surgical technique, working at the intra-articular level, leads to some benefits related to restoring joint congruence and stability by realigning the axis of the lower limb and reducing the lateral joint subluxation. Moreover, the improved valgisation and lateralization of the mechanical axis and the limitation of the osteotomy to the medial condyle led to a better load distribution to the not osteotomy-involved compartment.
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Affiliation(s)
- Marcello Capella
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Salvatore Risitano
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Luigi Sabatini
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Carlotta Faccenda
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Luca Barberis
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Daniele Camazzola
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Francesco Bosco
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Fortunato Giustra
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
| | - Alessandro Massè
- Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy
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Lahoti O. Non-arthroplasty options for hip, knee and ankle arthritis in adults. J Clin Orthop Trauma 2022; 24:101727. [PMID: 34938648 PMCID: PMC8654618 DOI: 10.1016/j.jcot.2021.101727] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Om Lahoti
- British Limb Reconstruction Society, King's College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom
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