Advertisement

Arthroscopic-Assisted, Navigated Triplane Osteotomies of the Lower Extremity

  • Francisco Maculé
  • Luis Lozano
Chapter

Abstract

The osteotomy procedure has always relied on a visual approach that lacks scientific rigour. During surgery, the complex mathematical and empirical formulae which may be used when planning the intervention give way to a rough reckoning based on a line running from the centre of the femoral head to the second toe.

Keywords

Tibial Plateau High Tibial Osteotomy Preoperative Planning Tibial Slope Angular Deformity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Conflict of Interests

The authors state that they have no conflict of interests and nor have they received any funding for the work reported in this chapter.

References

  1. 1.
    Aryee S, Imhoff AB, Rose T et al (2008) Do we need synthetic osteotomy augmentation materials for opening-wedge high tibial osteotomy? Biomaterials 29(26):3497–3502PubMedCrossRefGoogle Scholar
  2. 2.
    Billings A, Scott DF, Camargo MP et al (2000) High tibial osteotomy with a calibrated osteotomy guide, rigid internal fixation, and early motion. Long-term follow-up. J Bone Joint Surg Am 82:70–79PubMedGoogle Scholar
  3. 3.
    Dobbe JG, du Pré KJ, Kloen P et al (2011) Computer-assisted and patient-specific 3-D planning and evaluation of a single-cut rotational osteotomy for complex long-bone deformities. Med Biol Eng Comput 49(12):1363–1370PubMedCrossRefGoogle Scholar
  4. 4.
    Ellis RE, Tso CY, Rudan JF et al (1999) A surgical planning and guidance system for high tibial osteotomy. Comp Aided Surg 4:264–274CrossRefGoogle Scholar
  5. 5.
    Gebhard F, Krettek C, Hüfner T et al (2011) Reliability of computer-assisted surgery as an intraoperative ruler in navigated high tibial osteotomy. Arch Orthop Trauma Surg 131(3):297–302PubMedCrossRefGoogle Scholar
  6. 6.
    Iorio R, Pagnottelli M, Vadalà A et al (2011) Open-wedge high tibial osteotomy: comparison between manual and computer-assisted techniques. Knee Surg Sports Traumatol Arthrosc. 2011 Nov 24. [Epub ahead of print]Google Scholar
  7. 7.
    Keppler P, Gebhard GPA et al (2004) Computer aided high tibial open wedge osteotomy. Injury 35:68–78CrossRefGoogle Scholar
  8. 8.
    Lo WN, Cheung KW, Yung SH et al (2009) Arthroscopy-assisted computer navigation in high tibial osteotomy for varus knee deformity. J Orthop Surg (Hong Kong) 17(1):51–55Google Scholar
  9. 9.
    Maculé-Beneyto F, Hernández-Vaquero D, Segur-Vilalta JM et al (2006) Navigation in total knee arthroplasty. A multicenter study. Int Orthop 30:536–540PubMedCrossRefGoogle Scholar
  10. 10.
    Marti CB, Gautier E, Wachtl SW et al (2004) Accuracy of frontal and sagittal plane correction in open-wedge high tibial osteotomy. Arthroscopy 20:366–372PubMedCrossRefGoogle Scholar
  11. 11.
    Moreland Bassett LW, Hanker GJ (1987) Radiographic analysis of the axial alignment of the lower extremity. J Bone Joint Surg Am 69(A):745–749Google Scholar
  12. 12.
    Murphy SB (1994) Tibial osteotomy for genu varum. Indications, preoperative planning and technique. Orthop Clin North Am 25:477–482PubMedGoogle Scholar
  13. 13.
    Noyes FR, Barber-Westin SD, Hewett TE (2000) High tibial osteotomy and ligament reconstruction for varus angulated anterior cruciate ligament-deficient knees. Am J Sports Med 28:282–296PubMedGoogle Scholar
  14. 14.
    Phillips MJ, Krackow KA (1998) High tibial osteotomy and distal femoral osteotomy for valgus or varus deformity around the knee. Instr Course Lect 47:429–436PubMedGoogle Scholar
  15. 15.
    Rudan JF, Simurda MA (1991) Valgus high tibial osteotomy. A long-term follow-up study. Clin Orthop Relat Res 54:157–160Google Scholar
  16. 16.
    Saragaglia D, Blaysat M, Mercier N, Grimaldi M (2011) Results of forty two computer-assisted double level osteotomies for severe genu varum deformity. Int Orthop 36(5):999–1003PubMedCrossRefGoogle Scholar
  17. 17.
    Saragaglia D, Roberts J (2005) Navigated osteotomies around the knee in 170 patients with osteoarthrosis secondary to genu varum. Orthopaedics 28(10):s1269–s1274Google Scholar
  18. 18.
    Sastre S, Torner P, Maculé F (2007) Knee osteotomy: navigation guided and arthroscopy assisted. Knee Surg Sports Traumatol Arthrosc 15:1215–1218PubMedCrossRefGoogle Scholar
  19. 19.
    Song EK, Seon JK, Park SJ, Seo HY (2008) Navigated open wedge high tibial osteotomy. Sports Med Arthrosc 16(2):84–90PubMedCrossRefGoogle Scholar

Copyright information

© ESSKA 2013

Authors and Affiliations

  1. 1.Department of Orthopaedic Surgery, Knee Surgery UnitUniversity of BarcelonaBarcelonaSpain

Personalised recommendations