Additional distal femoral osteotomy for insufficient correction after high tibial osteotomy

BMJ Case Reports
Ryuichi NakamuraYasuo Katsuki

Abstract

A 70-year-old man who was treated with a closed-wedge high tibial osteotomy (HTO) had recurrent right medial knee pain 12 years after the initial osteotomy. We planned a recorrection osteotomy because the patient led an active lifestyle, had well-preserved range of motion and the lateral compartment was still intact. According to preoperative deformity analysis, which indicated a tibia in slight valgus and a femur in moderate varus, recorrection of the distal femur was chosen. Seven degrees of biplanar distal femoral osteotomy (DFO) was performed using a contralateral version of the TomoFix Medial Distal Femur. At 1 year follow-up, the femorotibial angle had improved from 178° to 170°, and the Japanese Orthopaedic Association score had improved from 75 to 95 points. Additional DFO could be a viable alternative for total knee arthroplasty or recorrection HTO when the centre of the deformity is located at the distal femur.

References

Nov 1, 1991·The Journal of Bone and Joint Surgery. British Volume·K OgataY Sugioka
Oct 18, 2001·The Journal of Bone and Joint Surgery. British Volume·J L ReesD W Murray
Dec 1, 1957·Annals of the Rheumatic Diseases·J H KELLGREN, J S LAWRENCE
May 29, 2007·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Ryuji NagamineYukihide Iwamoto
Apr 9, 2008·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Koji WatanabeKatsuro Tomita
Dec 30, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ryohei TakeuchiTomoyuki Saito
Dec 17, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·J-M BrinkmanR J van Heerwaarden
Oct 11, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Ryohei TakeuchiTomoyuki Saito
Aug 8, 2012·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Masayoshi OkudaYasuhito Tanaka
Nov 19, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Jae Hwi HanKyung Wook Nha
Jun 9, 2016·Knee Surgery & Related Research·Sang Jun SongChung Hwan Lee
Oct 21, 2016·Strategies in Trauma and Limb Reconstruction·J A D van der WoudeR J van Heerwaarden
Jun 11, 2017·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Sabine GoldhahnTakeshi Sawaguchi

❮ Previous
Next ❯

Citations

Jun 2, 2021·Archives of Orthopaedic and Trauma Surgery·Tetsuro IshimatsuTakuaki Yamamoto

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.