Encalada-Díaz MI, Cruz-López F, Pérez-Jiménez FX, Aguilera-Zepeda JM

Language: Spanish
References: 11
Page: 256-259
PDF size: 53.44 Kb.

ABSTRACT

The osteotomy for correcting varus of the knee is an extraarticular procedure that when is associated to arthroscopy, increases the rate of success and improves the function of the knee joint. We included 48 patients (53 knees) who had varus and arthrosis of the medial compartment of the knee. The average age was 55 years and 5 months. In 11 out of the 48 patients, osteotomy was not performed because of associated arthrosis of the lateral compartment of the knee. Those cases were scheduled for total knee replacement. In the remaining 37, a Maquet proximal tibial osteotomy and an arthroscopic debridement of the knee were carried out in the same operative time. After a follow-up of 25 months results were excellent in 23, good in 16, fair in 2 and poor in one. It is concluded that re-alignment and arthroscopic debridement of the knee is currently the best conservative treatment for preserving the joint, since as a combination, it eliminates the asymmetric loading on the articular surface as well as the inflammatory elements inside the knee. At the same time it avoids the postoperative stiffness of the knee otherwise frequent when open debridement was a current procedure.

REFERENCES

1. Coventry MB. Upper tibial osteotomy for gonarthrosis. The evolution of the operation in the last 18 years and long term results. Orthop Clin of North Am 1979; 10(1): 191-210.

2. Coventry MB. Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. J Bone Joint Surg 1985; 47(A): 984-90.

3. Coventry MB. Current concepts review: Upper tibial osteotomy for osteoarthritis. J Bone Joint Surg 1985; 67(A): 1136-40.

4. Fujisawa Y et al. The effect of high tibial osteotomy on osteoarthritis of the knee. Orthop Clin of North Am 1979; 10(3): 585-608.

5. Hsu RW. The study of Maquet dome high tibial osteotomy. Artrhoscopic assisted analysis. Clin Orthop 1989; 243: 280-285.

6. Keene JS et al. Evaluation of patients for high tibial osteotomy. Clin Orthop 1989; 243: 157-65.

7. Korn M. A new approach to dome high tibial osteotomy. Am J Knee Surg 1996; 9: 13-21.

8. Maquet P. The treatment of choice in osteoarthritis of the knee. Clin Orthop 1985; 192: 108-112.

9. Nguyen C et al. High tibial osteotomy compared with high tibial and Maquet procedures in medial and patello femoral compartment osteoarthritis. Clin Orthop 1989; 245: 179-87.

10. Odenbring S et al. Cartilage regeneration after proximal high tibial osteotomy for medial gonarthrosis. An arthroscopic, roentgenographic and histological study. Clin Orthop 1992; 277: 210-216.

11. Putnam M et al. Combined Maquet and proximal tibial valgus osteotomy. Clin Orthop 1985; 197: 217-223.