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The Role of Osteotomy in the Multiple-Ligament-Injured Knee

  • Hervé OuanezarEmail author
  • Sava Turcan
  • Anil S. Ranawat
Chapter

Abstract

Patients with instability after multiple-ligament-injured knee (MLIK) often present with many concomitant pathologies, including limb malalignment, meniscal incompetence and cartilage defects. Surgical treatment remains challenging; yet, interest has recently increased with numerous anatomic studies and technical notes published about ligament reconstructions, ligament augmentations, and ligament repairs in and around the knee. However, biological healing of soft tissues can be uncertain and inefficient to control forces and torques applied to the joint. In this context, axis impairment creating mechanical disorders need to be recognized, analyzed and corrected. Associated or not with soft tissue procedures, osteotomy is a surgical option that is a part of the knee surgeon’s modern armamentarium. This chapter highlights the role of osteotomy to restore stability and function in MLIK as a means of ensuring success in the long-term outcome.

Keywords

Osteotomy Multiple-Ligament-injured knee Limb axis Slope ACL PCL HTO DFO 

Abbreviations

ACL

Anterior Cruciate Ligament

AP

Anteroposterior

BMI

Body Mass Index

DFVO

Distal Femoral Varus Osteotomy

HKA

Hip–Knee–Ankle

HTO

High Tibial Osteotomy

LCL

Lateral Collateral Ligament

MCL

Medial Collateral Ligament

MLIK

Multiple-Ligament-Injured Knee

MRI

Magnetic Resonance Imaging

PCL

Posterior Cruciate Ligament

PLC

Posterolateral Corner

PMC

Posteromedial Corner

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Hervé Ouanezar
    • 1
    Email author
  • Sava Turcan
    • 1
  • Anil S. Ranawat
    • 1
  1. 1.Sports Medicine, Hospital for Special SurgeryNew YorkUSA

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