The oblique high tibial osteotomy technique without bone removal and with rigid blade plate fixation for the treatment of medial osteoarthritis of the varus knee: medium and long-term results
Identifieur interne : 000485 ( Istex/Corpus ); précédent : 000484; suivant : 000486The oblique high tibial osteotomy technique without bone removal and with rigid blade plate fixation for the treatment of medial osteoarthritis of the varus knee: medium and long-term results
Auteurs : Dimitrios Polyzois ; Panagiotis Stavlas ; Vassilios Polyzois ; Nikolaos ZacharakisSource :
- Knee Surgery, Sports Traumatology, Arthroscopy [ 0942-2056 ] ; 2006-10-01.
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- KwdEn :
Abstract
Abstract: Several high tibial osteotomy (HTO) surgical techniques for the treatment of medial osteoarthritis of the varus knee have been reported. Their main objectives are the achievement of the precise correction that is necessary for the lower limb mechanical axis realignment and the alleviation of the medial joint space. Early or late recurrence of the varus deformity must be avoided and various methods of fixation have been proposed to obtain this. We present a method of single level oblique HTO with no bone removal and with blade plate fixation for the treatment of medial osteoarthritis of the knee. One hundred seventeen patients (136 knees) were operated using this technique during a 12.2-year period. In 4.5 years follow-up there were 73.8% satisfactory results while in 8.4 years follow-up there were 61.1% satisfactory results. There were 11 complications: five patients with deep vein thrombosis, four with superficial wound infection and two with temporary peroneal nerve dysfunction. This study presents the operative technique in details, evaluates the results and assesses the advantages and disadvantages of the method in relation to other techniques described in the literature.
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DOI: 10.1007/s00167-006-0053-6
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ISTEX:678A910625F4216311A3D27402DFFA17995B0B77Le document en format XML
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Their main objectives are the achievement of the precise correction that is necessary for the lower limb mechanical axis realignment and the alleviation of the medial joint space. Early or late recurrence of the varus deformity must be avoided and various methods of fixation have been proposed to obtain this. We present a method of single level oblique HTO with no bone removal and with blade plate fixation for the treatment of medial osteoarthritis of the knee. One hundred seventeen patients (136 knees) were operated using this technique during a 12.2-year period. In 4.5 years follow-up there were 73.8% satisfactory results while in 8.4 years follow-up there were 61.1% satisfactory results. There were 11 complications: five patients with deep vein thrombosis, four with superficial wound infection and two with temporary peroneal nerve dysfunction. 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Their main objectives are the achievement of the precise correction that is necessary for the lower limb mechanical axis realignment and the alleviation of the medial joint space. Early or late recurrence of the varus deformity must be avoided and various methods of fixation have been proposed to obtain this. We present a method of single level oblique HTO with no bone removal and with blade plate fixation for the treatment of medial osteoarthritis of the knee. One hundred seventeen patients (136 knees) were operated using this technique during a 12.2-year period. In 4.5 years follow-up there were 73.8% satisfactory results while in 8.4 years follow-up there were 61.1% satisfactory results. There were 11 complications: five patients with deep vein thrombosis, four with superficial wound infection and two with temporary peroneal nerve dysfunction. This study presents the operative technique in details, evaluates the results and assesses the advantages and disadvantages of the method in relation to other techniques described in the literature.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>High tibial osteotomy</term></item><item><term>Mechanical axis</term></item><item><term>Unicompartmental osteoarthritis</term></item><item><term>Varus knee</term></item><item><term>Blade plate fixation</term></item></list></keywords></textClass><textClass><keywords scheme="Journal Subject"><list><head>Medicine & Public Health</head><item><term>Orthopedics</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2004-09-13">Created</change><change when="2006-10-01">Published</change><change xml:id="refBibs-istex" who="#ISTEX-API" when="2017-11-30">References added</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml 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Grant="OpenAccess"></MetadataGrant><AbstractGrant Grant="OpenAccess"></AbstractGrant><BodyPDFGrant Grant="Restricted"></BodyPDFGrant><BodyHTMLGrant Grant="Restricted"></BodyHTMLGrant><BibliographyGrant Grant="Restricted"></BibliographyGrant><ESMGrant Grant="Restricted"></ESMGrant></ArticleGrants></ArticleInfo><ArticleHeader><AuthorGroup><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Dimitrios</GivenName><FamilyName>Polyzois</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff2 Aff4" CorrespondingAffiliationID="Aff2" PresentAffiliationID="Aff4"><AuthorName DisplayOrder="Western"><GivenName>Panagiotis</GivenName><FamilyName>Stavlas</FamilyName></AuthorName><Contact><Phone>+30-6937128940</Phone><Fax>+30-2106537730</Fax><Email>stavlas@ath.forthnet.gr</Email></Contact></Author><Author AffiliationIDS="Aff1"><AuthorName DisplayOrder="Western"><GivenName>Vassilios</GivenName><FamilyName>Polyzois</FamilyName></AuthorName></Author><Author AffiliationIDS="Aff3"><AuthorName DisplayOrder="Western"><GivenName>Nikolaos</GivenName><FamilyName>Zacharakis</FamilyName></AuthorName></Author><Affiliation ID="Aff1"><OrgDivision>Department of Orthopaedics</OrgDivision><OrgName>“Thriassio” General Hospital</OrgName><OrgAddress><Street>G. Gennimata ave 1</Street><Postcode>19200</Postcode><City>Elefsina</City><Country Code="GR">Greece</Country></OrgAddress></Affiliation><Affiliation ID="Aff2"><OrgDivision>Department of Orthopaedics E</OrgDivision><OrgName>University Hospital of Aarhus</OrgName><OrgAddress><Street>Nørrebrogade 44</Street><Postcode>8000</Postcode><City>Aarhus C</City><Country Code="DK">Denmark</Country></OrgAddress></Affiliation><Affiliation ID="Aff3"><OrgDivision>Department of Orthopaedics B</OrgDivision><OrgName>“G. Gennimatas” General Hospital</OrgName><OrgAddress><Street>Messogion ave 154</Street><Postcode>15669</Postcode><City>Athens</City><Country Code="GR">Greece</Country></OrgAddress></Affiliation><Affiliation ID="Aff4"><OrgAddress><Street>Mitropoulou 53</Street><Postcode>12462</Postcode><City>Dasos Chaidari, Athens</City><Country Code="GR">Greece</Country></OrgAddress></Affiliation></AuthorGroup><Abstract ID="Abs1" Language="En"><Heading>Abstract</Heading><Para>Several high tibial osteotomy (HTO) surgical techniques for the treatment of medial osteoarthritis of the varus knee have been reported. Their main objectives are the achievement of the precise correction that is necessary for the lower limb mechanical axis realignment and the alleviation of the medial joint space. Early or late recurrence of the varus deformity must be avoided and various methods of fixation have been proposed to obtain this. We present a method of single level oblique HTO with no bone removal and with blade plate fixation for the treatment of medial osteoarthritis of the knee. One hundred seventeen patients (136 knees) were operated using this technique during a 12.2-year period. In 4.5 years follow-up there were 73.8% satisfactory results while in 8.4 years follow-up there were 61.1% satisfactory results. There were 11 complications: five patients with deep vein thrombosis, four with superficial wound infection and two with temporary peroneal nerve dysfunction. This study presents the operative technique in details, evaluates the results and assesses the advantages and disadvantages of the method in relation to other techniques described in the literature.</Para></Abstract><KeywordGroup Language="En"><Heading>Keywords</Heading><Keyword>High tibial osteotomy</Keyword><Keyword>Mechanical axis</Keyword><Keyword>Unicompartmental osteoarthritis</Keyword><Keyword>Varus knee</Keyword><Keyword>Blade plate fixation</Keyword></KeywordGroup></ArticleHeader><NoBody></NoBody></Article></Issue></Volume></Journal></Publisher></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>The oblique high tibial osteotomy technique without bone removal and with rigid blade plate fixation for the treatment of medial osteoarthritis of the varus knee: medium and long-term results</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>The oblique high tibial osteotomy technique without bone removal and with rigid blade plate fixation for the treatment of medial osteoarthritis of the varus knee: medium and long-term results</title></titleInfo><name type="personal"><namePart type="given">Dimitrios</namePart><namePart type="family">Polyzois</namePart><affiliation>Department of Orthopaedics, “Thriassio” General Hospital, G. Gennimata ave 1, 19200, Elefsina, Greece</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal" displayLabel="corresp"><namePart type="given">Panagiotis</namePart><namePart type="family">Stavlas</namePart><affiliation>Department of Orthopaedics E, University Hospital of Aarhus, Nørrebrogade 44, 8000, Aarhus C, Denmark</affiliation><affiliation>Mitropoulou 53, 12462, Dasos Chaidari, Athens, Greece</affiliation><affiliation>E-mail: stavlas@ath.forthnet.gr</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Vassilios</namePart><namePart type="family">Polyzois</namePart><affiliation>Department of Orthopaedics, “Thriassio” General Hospital, G. Gennimata ave 1, 19200, Elefsina, Greece</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nikolaos</namePart><namePart type="family">Zacharakis</namePart><affiliation>Department of Orthopaedics B, “G. Gennimatas” General Hospital, Messogion ave 154, 15669, Athens, Greece</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="OriginalPaper" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>Springer-Verlag</publisher><place><placeTerm type="text">Berlin/Heidelberg</placeTerm></place><dateCreated encoding="w3cdtf">2004-09-13</dateCreated><dateIssued encoding="w3cdtf">2006-10-01</dateIssued><dateIssued encoding="w3cdtf">2006</dateIssued><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><abstract lang="en">Abstract: Several high tibial osteotomy (HTO) surgical techniques for the treatment of medial osteoarthritis of the varus knee have been reported. Their main objectives are the achievement of the precise correction that is necessary for the lower limb mechanical axis realignment and the alleviation of the medial joint space. Early or late recurrence of the varus deformity must be avoided and various methods of fixation have been proposed to obtain this. We present a method of single level oblique HTO with no bone removal and with blade plate fixation for the treatment of medial osteoarthritis of the knee. One hundred seventeen patients (136 knees) were operated using this technique during a 12.2-year period. In 4.5 years follow-up there were 73.8% satisfactory results while in 8.4 years follow-up there were 61.1% satisfactory results. There were 11 complications: five patients with deep vein thrombosis, four with superficial wound infection and two with temporary peroneal nerve dysfunction. This study presents the operative technique in details, evaluates the results and assesses the advantages and disadvantages of the method in relation to other techniques described in the literature.</abstract><note>Knee</note><subject lang="en"><genre>Keywords</genre><topic>High tibial osteotomy</topic><topic>Mechanical axis</topic><topic>Unicompartmental osteoarthritis</topic><topic>Varus knee</topic><topic>Blade plate fixation</topic></subject><relatedItem type="host"><titleInfo><title>Knee Surgery, Sports Traumatology, Arthroscopy</title></titleInfo><titleInfo type="abbreviated"><title>Knee Surg Sports Traumatol Arthrosc</title></titleInfo><genre type="journal" displayLabel="Archive Journal" authority="ISTEX" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>Springer</publisher><dateIssued encoding="w3cdtf">2006-09-29</dateIssued><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><subject><genre>Medicine & Public Health</genre><topic>Orthopedics</topic></subject><identifier type="ISSN">0942-2056</identifier><identifier type="eISSN">1433-7347</identifier><identifier type="JournalID">167</identifier><identifier type="IssueArticleCount">22</identifier><identifier type="VolumeIssueCount">12</identifier><part><date>2006</date><detail type="volume"><number>14</number><caption>vol.</caption></detail><detail type="issue"><number>10</number><caption>no.</caption></detail><extent unit="pages"><start>940</start><end>947</end></extent></part><recordInfo><recordOrigin>Springer-Verlag, 2006</recordOrigin></recordInfo></relatedItem><identifier type="istex">678A910625F4216311A3D27402DFFA17995B0B77</identifier><identifier type="ark">ark:/67375/VQC-LKPJKLR1-Z</identifier><identifier type="DOI">10.1007/s00167-006-0053-6</identifier><identifier type="ArticleID">53</identifier><identifier type="ArticleID">s00167-006-0053-6</identifier><accessCondition type="use and reproduction" contentType="copyright">Springer-Verlag, 2006</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-3XSW68JL-F">springer</recordContentSource><recordOrigin>Springer-Verlag, 2006</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/678A910625F4216311A3D27402DFFA17995B0B77/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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