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Tibiofemoral Malalignment

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Abstract

Osteotomy is one of the oldest surgical techniques for the treatment of knee osteoarthritis. After years of lagging interest due to the introduction and success of total knee arthroplasty, it has recently seen renewed attention. The increased frequency of sports-related injuries, especially anterior cruciate ligament (ACL) tears with their high rate of associated meniscal injury, has led to an increased incidence of cartilage damage in ever younger age groups, while older age groups with osteoarthritis wish to remain active later in life (age defying “Baby Boomers”) than previous generations and also want to avoid the restrictions associated with arthroplasty. Today, osteotomy plays a role in the treatment of physiologically young patients with symptomatic unicompartmental cartilage damage, ranging from focal chondral defects to osteoarthritis. It also has become an important adjunct to cartilage repair and other soft tissue procedures, such as meniscus transplantation and ligament reconstruction.

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  1. Department of Orthopedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, 850 Boylston Street, Chestnut Hill, MA, 02467, USA

    Andreas H. Gomoll M.D.

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Correspondence to Andreas H. Gomoll M.D. .

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  1. OrthoIndy and Indiana Orthopedic Hospital, Indiana University School of Medicine, Greenwood, Indiana, USA

    Jack Farr

  2. Harvard Medical School, Brigham and Women's Hospital, Chestnut Hill, Massachusetts, USA

    Andreas H. Gomoll

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Gomoll, A. (2014). Tibiofemoral Malalignment. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-0427-9_5

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