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Osteotomies for Knee Arthritis

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Surgical Management of Knee Arthritis

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Abstract

Symptomatic unicompartmental osteoarthritis (UCOA) is a substantial orthopaedic problem representing one-third of patients with osteoarthritis (OA) of the knee. Total knee arthroplasty is the treatment of choice for multicompartmental OA in older, less active patients, but less invasive treatment strategies may be beneficial for active patients with UCOA under the age of 60. One less invasive option, osteotomy about the knee, aims to transfer stress away from the involved compartment to healthy areas of the knee unaffected by disease, thereby decreasing pain and increasing function. Favorable results have been reported in biomechanical and clinical studies for isolated lateral tibiofemoral OA, isolated medial tibiofemoral OA, and patellofemoral OA. Osteotomies preserve intra-articular structures and do not involve intra-articular implants, which allows for unrestricted loading and activity postoperatively. Osteotomies thus can provide functional advantages over arthroplasty options for younger, more active populations.

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Author information

Authors and Affiliations

  1. MedStar Georgetown University Medical Center, Washington, DC, USA

    Wiemi A. Douoguih

  2. Midwest Orthopaedics at Rush, Chicago, IL, USA

    Blake M. Bodendorfer

  3. MedStar Georgetown University Hospital, Washington, DC, USA

    Blake M. Bodendorfer

  4. Omaha Sports Doctor, Omaha Sports Doctor, NE, Omaha, USA

    Blake M. Bodendorfer

  5. Department of Orthopaedic Surgery, The Johns Hopkins University, School of Medicine, Baltimore, MD, USA

    Henry Tout Shu

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  1. Wiemi A. Douoguih
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  2. Blake M. Bodendorfer
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  3. Henry Tout Shu
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Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital For Joint Diseases, New York, NY, USA

    Ajit J. Deshmukh

  2. University Clinical Center of Kosovo, Pristina, Kosovo

    Bujar H. Shabani

  3. Orthopedic Clinic Paulinenhilfe, Diakonie Klinikum, Stuttgart, Germany

    Wenzel Waldstein

  4. Department of Orthopedic Surgery, Johns Hopkins Bayview Medical Center, Baltimore, MD, USA

    Julius K. Oni

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Douoguih, W.A., Bodendorfer, B.M., Shu, H.T. (2023). Osteotomies for Knee Arthritis. In: Deshmukh, A.J., Shabani, B.H., Waldstein, W., Oni, J.K. (eds) Surgical Management of Knee Arthritis. Springer, Cham. https://doi.org/10.1007/978-3-031-47929-8_12

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