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Osteotomies around the knee in unicompartimental osteoarthritis had an impressing revival in the past few years and have to be kept in mind as an alternative to total knee arthroplasty. The most frequent type of osteotomies around the knee is the medial open wedge high tibia osteotomy (MOWHTO). But still also closed wedge high tibia osteotomies (CWHTO) have their relevance in many cases. Distal femur osteotomies (DFO) are used more and more frequently in most cases as closed wedge, the open wedge DFO shows more problems in bone healing. All osteotomies with isolated correction in frontal plane should be done with a biplanar bonecut. In cases of severe varus and valgus malalignment a double-level osteotomy (combined femoral and tibial osteotomy) has to be executed. Severity and frequency of adverse events in osteotomies around the knee are mostly comparable to those in arthroplasty, except non-union which is only related to osteotomies and more often seen in smokers. There are nearly no age limits for osteotomies around the knee. Ten years-survival in HTOs are about 85 to 91% according to literature.
This article was published in the following journal.
Name: Zeitschrift fur Orthopadie und Unfallchirurgie
Advances in modern osteotomies around the knee : Report on the Association of Sports Traumatology, Arthroscopy, Orthopaedic surgery, Rehabilitation (ASTAOR) Moscow International Osteotomy Congress 2017.
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An instrument used to assess the results of rehabilitation from knee injuries, especially those requiring ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION. It measures recovery of knee joint function based on ACTIVITIES OF DAILY LIVING.
Injuries to the knee or the knee joint.
A region of the lower extremity immediately surrounding and including the KNEE JOINT.
Replacement for a knee joint.
Replacement of the knee joint.
A joint is where two or more bones come together, like the knee, hip, elbow, or shoulder. Joints can be damaged by many types of injuries or diseases, including Arthritis - inflammation of a joint causes pain, stiffness, and swelling with ...
Arthroplasty is a surgical procedure to restore the integrity and function of a joint. A joint can be restored by resurfacing the bones. An artificial joint (called a prosthesis) may also be used. Various types of arthritis may affect the joints. Osteo...