The effect of lateral opening wedge distal femoral osteotomy on leg length.
Identifieur interne : 001533 ( PubMed/Checkpoint ); précédent : 001532; suivant : 001534The 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 :
- Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA [ 1433-7347 ] ; 2016.
Descripteurs français
- KwdFr :
- MESH :
- anatomie et histologie : Membre inférieur.
- imagerie diagnostique : Membre inférieur.
- Adulte, Femelle, Fémur, Genu valgum, Humains, Mâle, Ostéotomie, Radiographie, Études de suivi.
English descriptors
- KwdEn :
- MESH :
- anatomy & histology : Lower Extremity.
- diagnostic imaging : Lower Extremity.
- methods : Osteotomy.
- surgery : Femur, Genu Valgum.
- Adult, Female, Follow-Up Studies, Humans, Male, Radiography.
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
Affiliations:
Links toward previous steps (curation, corpus...)
Links to Exploration step
pubmed:25326764Le document en format XML
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<term>Femur (surgery)</term>
<term>Follow-Up Studies</term>
<term>Genu Valgum (surgery)</term>
<term>Humans</term>
<term>Lower Extremity (anatomy & histology)</term>
<term>Lower Extremity (diagnostic imaging)</term>
<term>Male</term>
<term>Osteotomy (methods)</term>
<term>Radiography</term>
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<term>Femelle</term>
<term>Fémur ()</term>
<term>Genu valgum ()</term>
<term>Humains</term>
<term>Membre inférieur (anatomie et histologie)</term>
<term>Membre inférieur (imagerie diagnostique)</term>
<term>Mâle</term>
<term>Ostéotomie ()</term>
<term>Radiographie</term>
<term>Études de suivi</term>
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<keywords scheme="MESH" qualifier="anatomie et histologie" xml:lang="fr"><term>Membre inférieur</term>
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<keywords scheme="MESH" qualifier="anatomy & histology" xml:lang="en"><term>Lower Extremity</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Membre inférieur</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Osteotomy</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Femur</term>
<term>Genu Valgum</term>
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<term>Follow-Up Studies</term>
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<term>Radiography</term>
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<front><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>
</front>
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<Month>02</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>10</Month>
<Day>13</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>09</Month>
<Day>19</Day>
</DateRevised>
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<JournalIssue CitedMedium="Internet"><Volume>24</Volume>
<Issue>3</Issue>
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<Month>Mar</Month>
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<Title>Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA</Title>
<ISOAbbreviation>Knee Surg Sports Traumatol Arthrosc</ISOAbbreviation>
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<ArticleTitle>The effect of lateral opening wedge distal femoral osteotomy on leg length.</ArticleTitle>
<Pagination><MedlinePgn>847-54</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00167-014-3387-5</ELocationID>
<Abstract><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>
<AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">IV.</AbstractText>
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</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Lording</LastName>
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</AffiliationInfo>
<AffiliationInfo><Affiliation>Frankston Hospital, Hastings Rd, Frankston, VIC, 3199, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Villa</LastName>
<ForeName>V</ForeName>
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<Author ValidYN="Y"><LastName>Servien</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo><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>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Neyret</LastName>
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<Month>10</Month>
<Day>19</Day>
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<PMID Version="1">23011581</PMID>
</CommentsCorrections>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005269" MajorTopicYN="N">Femur</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D035002" MajorTopicYN="N">Lower Extremity</DescriptorName>
<QualifierName UI="Q000033" MajorTopicYN="Y">anatomy & histology</QualifierName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010027" MajorTopicYN="N">Osteotomy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011859" MajorTopicYN="N">Radiography</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Femoral osteotomy</Keyword>
<Keyword MajorTopicYN="N">Genu valgum</Keyword>
<Keyword MajorTopicYN="N">Leg length</Keyword>
<Keyword MajorTopicYN="N">Opening wedge</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>07</Month>
<Day>12</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>10</Month>
<Day>10</Day>
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<PubMedPubDate PubStatus="entrez"><Year>2014</Year>
<Month>10</Month>
<Day>20</Day>
<Hour>6</Hour>
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<PubMedPubDate PubStatus="medline"><Year>2016</Year>
<Month>10</Month>
<Day>14</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">25326764</ArticleId>
<ArticleId IdType="doi">10.1007/s00167-014-3387-5</ArticleId>
<ArticleId IdType="pii">10.1007/s00167-014-3387-5</ArticleId>
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<affiliations><list><country><li>France</li>
</country>
<region><li>Auvergne-Rhône-Alpes</li>
<li>Rhône-Alpes</li>
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<settlement><li>Lyon</li>
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