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The effect of lateral opening wedge distal femoral osteotomy on leg length.

Identifieur interne : 001533 ( PubMed/Checkpoint ); précédent : 001532; suivant : 001534

The effect of lateral opening wedge distal femoral osteotomy on leg length.

Auteurs : A. Madelaine [France] ; T. Lording [France] ; V. Villa [France] ; S. Lustig [France] ; E. Servien [France] ; P. Neyret [France]

Source :

RBID : pubmed:25326764

Descripteurs français

English descriptors

Abstract

Varisation distal femoral osteotomy is a well-described treatment for lateral compartment arthrosis in the young, active patient. This treatment may potentially alter the length of the lower limb . The objective of this study was to quantify the change in leg length following lateral opening wedge distal femoral osteotomy using a blade plate.

DOI: 10.1007/s00167-014-3387-5
PubMed: 25326764


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pubmed:25326764

Le document en format XML

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<term>Humans</term>
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<div type="abstract" xml:lang="en">Varisation distal femoral osteotomy is a well-described treatment for lateral compartment arthrosis in the young, active patient. This treatment may potentially alter the length of the lower limb . The objective of this study was to quantify the change in leg length following lateral opening wedge distal femoral osteotomy using a blade plate.</div>
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<Day>19</Day>
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<ArticleTitle>The effect of lateral opening wedge distal femoral osteotomy on leg length.</ArticleTitle>
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<AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">Varisation distal femoral osteotomy is a well-described treatment for lateral compartment arthrosis in the young, active patient. This treatment may potentially alter the length of the lower limb . The objective of this study was to quantify the change in leg length following lateral opening wedge distal femoral osteotomy using a blade plate.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Between 1998 and 2011, 29 lateral opening wedge distal femoral osteotomies were performed for symptomatic genu valgum with signs of lateral compartment arthrosis or patello-femoral symptoms. The mean age was 44.4 years (±11.3). Average follow-up was 80.2 months (±50.6).</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The mean osteotomy opening was 8.3° (±2.3). The femoro-tibial mechanical axis (mFTA) was improved significantly, from 187.8° (±3.5) to 180.4° (±2.6) post-operatively (p < 0.001). The pre-operative leg length discrepancy was -0.7 cm, compared to -0.6 cm post-operatively, which was not significant (n.s.). There were five revisions to arthroplasty for disease progression at meantime of 166.6 months post-operatively. The probability of survival at 60 months was 91.4% (95% CI 74.9-100%) with end-point of revision to total knee arthroplasty and 87.6% (95% CI 74.1-100%) of revision for complications.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Lateral opening wedge distal femoral osteotomy, performed for symptomatic genu valgum, has no effect on leg length. This technique allows good correction of the axis of the lower limb; however, the complication rate is not insignificant (14%). Complications occurred mainly in post-traumatic cases and may be avoidable with attention to technique and optimum rehabilitation. The procedure should be reserved for young, active patients with significant symptoms.</AbstractText>
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<Affiliation>Frankston Hospital, Hastings Rd, Frankston, VIC, 3199, Australia.</Affiliation>
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<Affiliation>Service de chirurgie orthopédique, centre Albert Trillat, Université Claude Bernard, Lyon 1, Hôpital de la Croix-rousse, Hospices civils de Lyon, 103 grande rue de la Croix-rousse, 69004, Lyon, France.</Affiliation>
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<CommentsCorrectionsList>
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</CommentsCorrections>
<CommentsCorrections RefType="Cites">
<RefSource>Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):152-60</RefSource>
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</CommentsCorrections>
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<RefSource>J Bone Joint Surg Am. 2005 Jan;87(1):127-33</RefSource>
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<CommentsCorrections RefType="Cites">
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<CommentsCorrections RefType="Cites">
<RefSource>Orthop Traumatol Surg Res. 2014 Sep;100(5):531-4</RefSource>
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<RefSource>J Bone Joint Surg Am. 1987 Jan;69(1):32-8</RefSource>
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<PMID Version="1">23011581</PMID>
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