Abstract
Valgus-producing osteotomy of the proximal tibia is a well-established treatment for medial femorotibial osteoarthritis in the varus knee. The ideal patient is active, under 55 years of age, has a stable varus deformity of less than 10°, a good bone stock, and an osteoarthritis stage that is restricted to the medial compartment of the knee. Coventry reported a failure rate in proximal tibial osteotomy to be significantly higher when the postoperative alignment was less than 8° of anatomical valgus. Hernigou noted better clinical long-term results in cases with a precise correction of malalignment. There are different preoperative planning methods varying between simple estimates of correction angles and specific radiographic planning tools. The reproducibility of operative outcome with regard to a predictable anatomic alignment and functional recovery must have high priority. This chapter deals with different preoperative planning methods to improve the reliability of surgical results after tibial osteotomy.
Translated title of the contribution | Imaging and preoperative planning for high tibial osteotomy |
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Original language | German |
Pages (from-to) | 122-134 |
Number of pages | 13 |
Journal | Der Orthopade |
Volume | 33 |
Issue number | 2 |
DOIs | |
Publication status | Published - Feb 2004 |
Externally published | Yes |
Keywords
- Imaging
- Preoperative planning
- Tibial head placement