High tibial osteotomy in knee laxities: Concepts review and results
Identifieur interne : 002279 ( Pmc/Curation ); précédent : 002278; suivant : 002280High tibial osteotomy in knee laxities: Concepts review and results
Auteurs : Jonathan G. Robin [Australie] ; Philippe Neyret [France]Source :
- EFORT Open Reviews [ 2058-5241 ] ; 2016.
Abstract
Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment. Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the effects of high tibial osteotomy on knee instability have been studied. Lateral closing-wedge high tibial osteotomy tends to reduce the posterior tibial slope, which has a stabilising effect on anterior tibial instability that occurs with ACL deficiency. Medial opening-wedge high tibial osteotomy tends to increase the posterior tibia slope, which has a stabilising effect in posterior tibial instability that occurs with PCL deficiency. Overall results from recent studies indicate that there is a role for combined ligament reconstruction and periarticular knee osteotomy. The use of high tibial osteotomy has been able to extend the indication for ligament reconstruction which, when combined, may ultimately halt the evolution of arthritis and preserve their natural knee joint for a longer period of time.
Cite this article: Robin JG, Neyret P. High tibial osteotomy in knee laxities: Concepts review and results.
Url:
DOI: 10.1302/2058-5241.1.000001
PubMed: 28461908
PubMed Central: 5367616
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Robin</name><affiliation wicri:level="1"><nlm:aff id="aff1-2058-5241.1.000001">Box Hill Hospital, Eastern Health Network, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Box Hill Hospital, Eastern Health Network</wicri:regionArea></affiliation></author><author><name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name><affiliation wicri:level="1"><nlm:aff id="aff2-2058-5241.1.000001">Lyon 1 University, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Lyon 1 University</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28461908</idno><idno type="pmc">5367616</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367616</idno><idno type="RBID">PMC:5367616</idno><idno type="doi">10.1302/2058-5241.1.000001</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">002429</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002429</idno><idno type="wicri:Area/Pmc/Curation">002279</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002279</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">High tibial osteotomy in knee laxities: Concepts review and results</title><author><name sortKey="Robin, Jonathan G" sort="Robin, Jonathan G" uniqKey="Robin J" first="Jonathan G." last="Robin">Jonathan G. Robin</name><affiliation wicri:level="1"><nlm:aff id="aff1-2058-5241.1.000001">Box Hill Hospital, Eastern Health Network, Australia</nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Box Hill Hospital, Eastern Health Network</wicri:regionArea></affiliation></author><author><name sortKey="Neyret, Philippe" sort="Neyret, Philippe" uniqKey="Neyret P" first="Philippe" last="Neyret">Philippe Neyret</name><affiliation wicri:level="1"><nlm:aff id="aff2-2058-5241.1.000001">Lyon 1 University, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Lyon 1 University</wicri:regionArea></affiliation></author></analytic><series><title level="j">EFORT Open Reviews</title><idno type="eISSN">2058-5241</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><list list-type="bullet" id="list1-2058-5241.1.000001"><list-item><p>Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.</p></list-item><list-item><p>Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the effects of high tibial osteotomy on knee instability have been studied.</p></list-item><list-item><p>Lateral closing-wedge high tibial osteotomy tends to reduce the posterior tibial slope, which has a stabilising effect on anterior tibial instability that occurs with ACL deficiency.</p></list-item><list-item><p>Medial opening-wedge high tibial osteotomy tends to increase the posterior tibia slope, which has a stabilising effect in posterior tibial instability that occurs with PCL deficiency.</p></list-item><list-item><p>Overall results from recent studies indicate that there is a role for combined ligament reconstruction and periarticular knee osteotomy.</p></list-item><list-item><p>The use of high tibial osteotomy has been able to extend the indication for ligament reconstruction which, when combined, may ultimately halt the evolution of arthritis and preserve their natural knee joint for a longer period of time.</p></list-item></list></p><p>Cite this article: Robin JG, Neyret P. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">EFORT Open Rev</journal-id><journal-id journal-id-type="iso-abbrev">EFORT Open Rev</journal-id><journal-title-group><journal-title>EFORT Open Reviews</journal-title></journal-title-group><issn pub-type="epub">2058-5241</issn><publisher><publisher-name>British Editorial Society of Bone and Joint Surgery</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28461908</article-id><article-id pub-id-type="pmc">5367616</article-id><article-id pub-id-type="doi">10.1302/2058-5241.1.000001</article-id><article-id pub-id-type="publisher-id">10.1302_2058-5241.1.000001</article-id><article-categories><subj-group subj-group-type="heading"><subject>Knee</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>2</subject></subj-group><subj-group subj-group-type="search-keyword"><subject>Knee Instability</subject><subject>Malalignment</subject><subject>Acl</subject><subject>Pcl</subject><subject>High Tibial Osteotomy</subject><subject>Ligament Reconstruction</subject></subj-group></article-categories><title-group><article-title>High tibial osteotomy in knee laxities: Concepts review and results</article-title></title-group><contrib-group><contrib id="c1" contrib-type="author"><name><surname>Robin</surname><given-names>Jonathan G.</given-names></name><xref ref-type="aff" rid="aff1-2058-5241.1.000001">1</xref><xref ref-type="corresp" rid="corresp1-2058-5241.1.000001"></xref></contrib><contrib id="c2" contrib-type="author"><name><surname>Neyret</surname><given-names>Philippe</given-names></name><xref ref-type="aff" rid="aff2-2058-5241.1.000001">2</xref></contrib></contrib-group><aff id="aff1-2058-5241.1.000001"><label>1</label>Box Hill Hospital, Eastern Health Network, Australia</aff><aff id="aff2-2058-5241.1.000001"><label>2</label>Lyon 1 University, France</aff><author-notes><corresp id="corresp1-2058-5241.1.000001">Jonathan G. Robin, OASIS Orthopaedics, Level 2, 700 Glenhuntly Road, Caulfield South 3162, Victoria, Australia. Email: <email>jonathan@oasisortho.com.au</email></corresp></author-notes><pub-date pub-type="collection"><month>1</month><year>2016</year></pub-date><pub-date pub-type="epub"><day>7</day><month>1</month><year>2016</year></pub-date><volume>1</volume><issue>1</issue><fpage>3</fpage><lpage>11</lpage><permissions><copyright-statement>© 2016 The author(s)</copyright-statement><copyright-year>2016</copyright-year><copyright-holder content-type="other">The author(s)</copyright-holder><license license-type="creative-commons" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (<ext-link ext-link-type="uri" xlink:href="http://www.creativecommons.org/licenses/by-nc/3.0/">http://www.creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.</license-p></license></permissions><abstract><p><list list-type="bullet" id="list1-2058-5241.1.000001"><list-item><p>Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.</p></list-item><list-item><p>Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the effects of high tibial osteotomy on knee instability have been studied.</p></list-item><list-item><p>Lateral closing-wedge high tibial osteotomy tends to reduce the posterior tibial slope, which has a stabilising effect on anterior tibial instability that occurs with ACL deficiency.</p></list-item><list-item><p>Medial opening-wedge high tibial osteotomy tends to increase the posterior tibia slope, which has a stabilising effect in posterior tibial instability that occurs with PCL deficiency.</p></list-item><list-item><p>Overall results from recent studies indicate that there is a role for combined ligament reconstruction and periarticular knee osteotomy.</p></list-item><list-item><p>The use of high tibial osteotomy has been able to extend the indication for ligament reconstruction which, when combined, may ultimately halt the evolution of arthritis and preserve their natural knee joint for a longer period of time.</p></list-item></list></p><p>Cite this article: Robin JG, Neyret P. High tibial osteotomy in knee laxities: Concepts review and results. <italic>EFORT Open Rev</italic> 2016;1:3-11. doi: 10.1302/2058-5241.1.000001.</p></abstract><kwd-group><kwd>Knee instability</kwd><kwd>malalignment</kwd><kwd>ACL</kwd><kwd>PCL</kwd><kwd>high tibial osteotomy</kwd><kwd>ligament reconstruction</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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