High tibial osteotomy for unloading osteochondral defects in the medial compartment of the knee

The American Journal of Sports Medicine
Curtis MinaLaurence Higgins

Abstract

High tibial osteotomy is a well-established method for the treatment of symptomatic medial unicompartmental cartilage degeneration. While the findings of several outcome studies have led to the widely practiced postoperative goal alignment of 8 degrees to 10 degrees of valgus, there exists no literature to account for patient-specific measurements such as body weight, baseline geometry, and medial chondral defect size. Furthermore, there is a lack of literature to support the ideal goal alignment when using high tibial osteotomy to unload isolated chondral defects. To identify a relationship between these patient-specific factors and the ideal postoperative alignment. Controlled laboratory study. High tibial osteotomy was performed on 8 human cadaveric knees and was fixed with a dynamic external fixator. The fixator was used to vary the tibiofemoral alignment from 12 degrees valgus to 10 degrees varus. At each alignment, force, contact area, and pressure distribution were recorded. This pattern was repeated for a range of applied loads (0.8-1.8 x ideal body weight) and across a range of medial chondral defect sizes (10-20 cm). As tibiofemoral alignment was shifted from varus to valgus alignment, we found a decrease in medial co...Continue Reading

References

Jul 1, 1991·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·T D BrownR A Brand
Apr 1, 1990·Acta Orthopaedica Scandinavica·S OdenbringS T Larsen
Jan 1, 1984·Journal of Biomechanics·V C MowW M Lai
Feb 1, 1984·Seminars in Arthritis and Rheumatism·E L Radin, D B Burr
Feb 1, 1993·The Journal of Bone and Joint Surgery. American Volume·M B CoventryS L Wallrichs
Feb 24, 1999·Clinics in Sports Medicine·T Minas, L Peterson
Oct 26, 1999·Journal of Biomechanical Engineering·P A TorzilliD L Helfet
Oct 14, 2000·Archives of Biochemistry and Biophysics·A M LoeningM W Lark
Jul 13, 2001·JAMA : the Journal of the American Medical Association·L SharmaD D Dunlop
Jan 8, 2005·Clinics in Sports Medicine·Michelle Wolcott
Aug 23, 2005·The Journal of the American Academy of Orthopaedic Surgeons·John M WrightRussell E Windsor
Sep 17, 2005·The Orthopedic Clinics of North America·Annunziato Amendola, Ludovico Panarella

❮ Previous
Next ❯

Citations

Dec 23, 2009·Tissue Engineering. Part B, Reviews·Tamer A E Ahmed, Maxwell T Hincke
Dec 7, 2010·Artificial Organs·Alessandro Rozim ZorziJoão Batista de Miranda
Mar 23, 2011·Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology : SMARTT·Sridhar Vijayan, George Bentley
Dec 20, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·David C FlaniganRobert A Siston
Aug 8, 2014·The Journal of Orthopaedic and Sports Physical Therapy·Emily A EismannGregory D Myer
Dec 8, 2014·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp MinzlaffStefan Hinterwimmer
Jul 11, 2014·International Orthopaedics·Matthias J FeuchtStefan Hinterwimmer
Mar 7, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Eduardo M SueroEmmanouil Liodakis
May 29, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sachiyuki Tsukada, Motohiro Wakui
Nov 25, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Eduardo M SueroEmmanouil Liodakis
Jun 27, 2009·The American Journal of Sports Medicine·Aaron GardinerJohn C Richmond
Mar 16, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Nikolaos K PaschosKyriacos A Athanasiou
Mar 31, 2010·The American Journal of Sports Medicine·Matthias JacobiEmanuel Gautier
Jul 23, 2013·The American Journal of Sports Medicine·Philipp MinzlaffStefan Hinterwimmer
Apr 24, 2018·Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine·Zahra TradJoão Manuel Rs Tavares
Sep 30, 2017·The American Journal of Sports Medicine·Cheol Hee ParkSang Jun Song
Oct 5, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lisa HohlochGerrit Bode
Sep 29, 2018·The American Journal of Sports Medicine·James D WylieFlorian B Imhoff
Nov 14, 2018·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Martin PanzicaEduardo M Suero
Oct 26, 2013·Clinical Journal of Sport Medicine : Official Journal of the Canadian Academy of Sport Medicine·Omar BeheryDavid C Flanigan
May 3, 2016·Sports Medicine and Arthroscopy Review·Alexander E WeberBrian J Cole
Dec 13, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yukio AkasakiYasuharu Nakashima
Apr 14, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Do Kyung LeeJong-Yeup Kim
Oct 1, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Andreas M SeitzLutz Dürselen
Aug 5, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Lukas WillingerConstantin von Deimling
Feb 26, 2019·Orthopaedic Journal of Sports Medicine·Lukas WillingerRainer Burgkart
Jun 14, 2019·Journal of Healthcare Engineering·Xiaoyu LiuZhongmin Jin
Jun 26, 2020·The Journal of Knee Surgery·Nathan L GrimmRobert A Arciero
May 1, 2020·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Jakob AckermannAndreas H Gomoll
Apr 13, 2021·Der Orthopäde·Matthias J FeuchtJulian Mehl
Apr 26, 2021·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kiminari KataokaDarren de Sa
Nov 28, 2019·Orthopaedics & Traumatology, Surgery & Research : OTSR·Kang-Il KimSang Jun Song

❮ 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.

Related Papers

Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association
W W CurlG G Poehling
International Orthopaedics
Annunziato Amendola, Davide Edoardo Bonasia
© 2022 Meta ULC. All rights reserved