Varus inclination of the distal femur and high tibial osteotomy

The Journal of Bone and Joint Surgery. British Volume
M TerauchiM Kimura

Abstract

We have analysed retrospectively the relationship between the axial parameters of alignment of the lower limb and the recurrence of varus deformity after high tibial osteotomy. We studied 29 patients (37 knees) with a mean age at surgery of 66 years. The mean follow-up was for 7.4 years (5 to 10.5). Recurrence of varus deformity was defined as an increase in the femorotibial angle of 3 degrees or more, compared with that obtained six months after the operation. There were four patients (four knees) with recurrence of varus deformity. They had a greater varus inclination of the distal femur than those without varus recurrence. An association between varus inclination of the distal femur and horizontal obliquity of the joint surface was observed. Excessive obliquity prevents the shift of weight-bearing to the lateral compartment, and may cause a recurrence of varus deformity after high tibial osteotomy.

Citations

Jan 14, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Tom M van RaaijJan A N Verhaar
May 12, 2011·Journal of Orthopaedic Science : Official Journal of the Japanese Orthopaedic Association·Seung-Ju KimSang-Yoon Song
Jul 21, 2004·The Knee·Cong-Feng Luo
Oct 21, 2016·Strategies in Trauma and Limb Reconstruction·J A D van der WoudeR J van Heerwaarden
Sep 30, 2017·The American Journal of Sports Medicine·Cheol Hee ParkSang Jun Song
Aug 24, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hiroshi NakayamaMasaru Higa
Oct 27, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mitsuaki KubotaMuneaki Ishijima
Feb 16, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Yoon-Ho KwakHyuk-Soo Han
Mar 20, 2019·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Shogo HashimotoHirotaka Chikuda

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