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Osteotomy Around Knee

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A Strategic Approach to Knee Arthritis Treatment

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Abstract

Osteotomy around the knee was mainly performed to correct bone deformity of the knee in children, but after that, it began to be applied to the treatment of arthritis. It was performed in osteoarthritis patients with varus or valgus deformity, and the concept of delaying degenerative changes in joints was established by realigning the lower extremities through osteotomy. Closing wedge osteotomy, which was performed at the proximal tibial ridge including fibular osteotomy, was first started, later developed into open wedge osteotomy. It also evolved from uniplane osteotomy to biplane osteotomy. As high tibia osteotomy (HTO) was applied to the treatment for deformed knees due to osteoarthritis, the incidence of osteotomy surgery increased. However, it was found that there are cases where it is difficult to treat with only HTO. Distal femoral osteotomy (DFO) was performed and this problem could be resolved. Like HTO, DFO has evolved from uniplane osteotomy to biplane osteotomy. There was a time when the interest in osteotomy declined as the artificial joint replacement surgery reported good results. However, in young, active patients with osteoarthritis, the results of artificial joint replacement were poor. Therefore, a new treatment was needed to be applied to them. Osteotomy is beginning to be used in young and active patients with osteoarthritis. As the fixation devices used in osteotomy were developed, surgical techniques were established. As the osteotomy was properly performed according to the preoperative plan, it was established as an effective treatment, especially for young and active osteoarthritis patients.

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  1. Department of Orthopedics, Inje University Haeundae Paik Hospital, Busan, South Korea

    Sang Won Moon

  2. Department of Orthopedics, Busan Medical Center, Busan, South Korea

    Young-Kyoung Min

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    Seung-Suk Seo

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Moon, S.W., Min, YK. (2021). Osteotomy Around Knee. In: Seo, SS. (eds) A Strategic Approach to Knee Arthritis Treatment. Springer, Singapore. https://doi.org/10.1007/978-981-16-4217-3_12

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