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Stabilization of high tibial osteotomy with staples

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Abstract

Patients presenting with painful arthritis of the medial knee compartment with an intact lateral compartment are treated by high tibial valgus osteotomy at our institution. Between 1989 and 1993, 75 high tibial valgus osteotomies were done. Of these, 52 were idiopathic, 22 post-traumatic, and 1 subsequent to an intra-articular infection of the knee. The condition of the lateral compartment was routinely checked arthroscopically. All osteotomies were stabilized with osteotomy staples. This provided immediate stability, allowing partial weight-bearing (15 kg). Because of the simplicity and the low complication rate, we recommend this technique as a suitable treatment for arthritis of the medial condyle of the knee.

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References

  1. Blauth W (1994) Zur Technik der valgisierenden, kniegelenksnahen Tibiakopfosteotomie. Unfallheilkunde 87:397–404

    Google Scholar 

  2. Blauth W, Burkhard S, Hassenpflug J (1993) Die interligamentäre, valgisierende Tibiakopfosteotomie bei Varusgonarthrose. Oper Orthop Traumatol 5:1–15

    Google Scholar 

  3. Brunner C, Weber BG (1981) Besondere Osteotomietechniken. Springer, Berlin Heidelberg New York, pp 156–157

    Google Scholar 

  4. Coventry M (1965) Osteotomy of the upper portion of the tibia for degenerative arthritis of the knee. J Bone Joint Surg [Am] 47:984–990

    Google Scholar 

  5. Coventry M (1973) Osteotomy about the knee for degenerative and rheumatoid arthritis: indications, operative techniques and results. J Bone Joint Surg [Am] 55:23–48

    Google Scholar 

  6. Coventry M (1984) Upper tibial osteotomy. Clin Orthop 182:46–52

    Google Scholar 

  7. Coventry M, Bowman P (1982) Long term results of upper tibial osteotomy for degenerative arthritis of the knee. Acta Orthop Belg 48:139–156

    Google Scholar 

  8. Dinkelaker F, Breyer H, Rahmanzadeh R (1990) Die Korrekturosteotomie am Tibiakopf bei primärer und sekundärer Gonarthorse — eine gelenkerhaltende Operation. Aktuel Traumatol 20:124–128

    Google Scholar 

  9. Fischer-Wasels J (1975) Die Korrekturosteotomie der Tibia bei Fehlstellungen im Bereich des Kniegelenkes und die Knochennaht. Z Orthop 113:406–511

    Google Scholar 

  10. Frenkel H, Raslan T, Jungmichel M (1990) Behandlungsergebnisse der valgisierenden supratuberkulären Tibiakopfkorrekturosteotomie bei medialer Hemigonarthrose. Beitr Orthop Traumatol 37:216–224

    Google Scholar 

  11. Giebel G, Tscherne H, Daiber M (1985) Die Tibiakopfosteotomie zur Behandlung der Gonarthrose. Orthopäde 14:144–153

    Google Scholar 

  12. Haas N, Behrens S, Jacobitz J (1978) Technik und Ergebnisse kniegelenksnaher Osteotomien. Unfallheilkunde 81:634–641

    Google Scholar 

  13. Hsu R (1989) The study of Maquet dome high tibial osteotomy. Arthroscopic-assisted analysis. Clin Orthop 243:280–285

    Google Scholar 

  14. Install J, Joseph D, Msika C (1984) High tibia osteotomy for varus gonarthrosis. A long-term follow-up study. J Bone Joint Surg [Am] 66:1040–1048

    Google Scholar 

  15. Jackson J (1958) Osteotomy for osteoarthritis of the knee. J Bone Joint Surg [Br] 40:826–828

    Google Scholar 

  16. Jonasch E (1958) Zur Klassifizierung der Arthrose im Kniegelenk. Z Orthop (Suppl) 92:579

    Google Scholar 

  17. Jvarsson J, Myrnerts R, Gillquist J (1990) High tibial osteotomy for medial osteoarthrosis of the knee. J Bone Joint Surg [Br] 72:238–244

    Google Scholar 

  18. Keene J, Monson D, Roberts J, Dyreby J (1989) Evaluation of patients for high tibial osteotomy. Clin Orthop 243:157–165

    Google Scholar 

  19. Müller K, Bierbach M (1977) Korrekturosteotomien und ihre Ergebnisse bei idiopathischen kniegelenksnahen Achsenfehlstellungen. Unfallheilkunde 80:457–467

    Google Scholar 

  20. Müller R, Meßner U (1989) Die Tibiakopf-Additionsosteotomie mit Gelenktoilette. Indiaktion-Technik-Ergebnisse. Z Orthop 127:308–314

    Google Scholar 

  21. Ortlepp K, Siegling C, Franke (1989) Nachuntersuchungsergebnisse nach proximaler Tibiakorrekturosteotomie. Beitr Orthop Traumatol 36:563–571

    Google Scholar 

  22. Pfeiffer M, Griss P (1990) Die valgisierende Tibiakopfumstellungsosteotomie — Ergebnisse einer vergleichenden Nachuntersuchung zur interligamentdren Tibiakopfosteotmie nach Coventry und infratuberositären Schrägosteotomie nach Wagner. Z Orthop 128:51–57

    Google Scholar 

  23. Psczolla M, Groenewald H (1984) Die Tibiakopfosteotomie mit der AO-Winkelplatte. Orthop Prax 20:900–902

    Google Scholar 

  24. Rudan J, Simurda M (1990) High tibial osteotomy. A prospective clinical and roentgenographic review. Clin Orthop 255:251–256

    Google Scholar 

  25. Rudan J, Simurda M (1991) Valgus high tibial osteotomy. A long-term follow-up study. Clin Orthop 268:157–160

    Google Scholar 

  26. Stuart M, Grace J, Ilstrup D, Kelly C, Adams R, Morrey B (1990) Late recurrence of varus deformity after proximal tibial osteotomy. Clin Orthop 260:61–65

    Google Scholar 

  27. Weber B, Wörsdörfer O (1980) Zuggurtungsosteotomie bei Tibiakopfosteotomie. Z Orthop 118:637

    Google Scholar 

  28. Winker K, Weller S (1990) Die extraligamentäre valgisierende additive (EVA) Tibiakopfosteotomie. Z Orthop 128:58–62

    Google Scholar 

  29. Witt M (1988) Untersuchungen zu Korrekturverlust nach valgisierenden Tibiakopfosteotomien. Beitr Orthop Traumatol 35:449–453

    Google Scholar 

  30. Wohlfahrt A, Heppt P, Goldmann A, Wirtz P (1991) Die valgisierende Tibiakopfpendelosteotomie. Eine klinische Untersuchung und statistische Analyse von 91 Langzeitergebnissen. Z Orthop 129:72–79

    Google Scholar 

  31. Yasuda K, Majima T, Tsuchida T, Kaneda K (1992) A ten to 15-year follow-up observation of high tibial osteotomy in medial compartment osteoarthrosis. Clin Orthop 282:186–195

    Google Scholar 

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Zuegel, N.P., Braun, W.G., Kundel, K.P.A. et al. Stabilization of high tibial osteotomy with staples. Arch Orthop Trauma Surg 115, 290–294 (1996). https://doi.org/10.1007/BF00439056

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  • DOI: https://doi.org/10.1007/BF00439056

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