Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint
High tibial osteotomy for medial-compartment knee osteoarthritis (OA) is an established biological knee reconstruction surgical procedure. In open- and closed-wedge high tibial osteotomy, the angulation correction axes are away from the center of rotation and angulation. This results in translation...
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doaj-5d7959620f3a498f91175388c1b8b23d2021-06-11T05:13:13ZengElsevierArthroscopy Techniques2212-62872020-08-0198e1079e1086Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee JointKentaro Igarashi, M.D., Ph.D.0Norio Yamamoto, M.D., Ph.D.1Katsuhiro Hayashi, M.D., Ph.D.2Hidenori Matsubara, M.D., Ph.D.3Akihiko Takeuchi, M.D., Ph.D.4Shinji Miwa, M.D., Ph.D.5Hiroyuki Tsuchiya, M.D., Ph.D.6Department of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanDepartment of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanDepartment of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanDepartment of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanDepartment of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanDepartment of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanAddress correspondence to Hiroyuki Tsuchiya, M.D., Ph.D., Department of Orthopaedic Surgery, Graduate School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan.; Department of Orthopaedic Surgery, Kanazawa University, Kanazawa, JapanHigh tibial osteotomy for medial-compartment knee osteoarthritis (OA) is an established biological knee reconstruction surgical procedure. In open- and closed-wedge high tibial osteotomy, the angulation correction axes are away from the center of rotation and angulation. This results in translation deformity, which alters the orientation of the adjacent joint and the length of the limb. In the present study, we combined the distal tibial tuberosity focal dome osteotomy centered on the center of rotation and angulation with the longitudinal condylar osteotomy (focal dome condylar osteotomy) for knee OA. The advantages of this procedure are as follows: physiological orientation of adjacent joint is achieved; limb length is maintained; joint stabilization in the coronal plane is achieved; patella infra is prevented; sufficient bone contact between the medial and posterior cortex is achieved; early weight-bearing walking is possible; and fibular osteotomy is not required. This study describes the details of the surgical procedure, including our compass cutter for accurate dome osteotomy and the postoperative rehabilitation program for patients with knee OA and moderate-to-severe varus deformity.http://www.sciencedirect.com/science/article/pii/S2212628720300852 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kentaro Igarashi, M.D., Ph.D. Norio Yamamoto, M.D., Ph.D. Katsuhiro Hayashi, M.D., Ph.D. Hidenori Matsubara, M.D., Ph.D. Akihiko Takeuchi, M.D., Ph.D. Shinji Miwa, M.D., Ph.D. Hiroyuki Tsuchiya, M.D., Ph.D. |
spellingShingle |
Kentaro Igarashi, M.D., Ph.D. Norio Yamamoto, M.D., Ph.D. Katsuhiro Hayashi, M.D., Ph.D. Hidenori Matsubara, M.D., Ph.D. Akihiko Takeuchi, M.D., Ph.D. Shinji Miwa, M.D., Ph.D. Hiroyuki Tsuchiya, M.D., Ph.D. Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint Arthroscopy Techniques |
author_facet |
Kentaro Igarashi, M.D., Ph.D. Norio Yamamoto, M.D., Ph.D. Katsuhiro Hayashi, M.D., Ph.D. Hidenori Matsubara, M.D., Ph.D. Akihiko Takeuchi, M.D., Ph.D. Shinji Miwa, M.D., Ph.D. Hiroyuki Tsuchiya, M.D., Ph.D. |
author_sort |
Kentaro Igarashi, M.D., Ph.D. |
title |
Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint |
title_short |
Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint |
title_full |
Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint |
title_fullStr |
Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint |
title_full_unstemmed |
Distal Tibial Tuberosity Focal Dome Osteotomy Combined With Intra-Articular Condylar Osteotomy (Focal Dome Condylar Osteotomy) for Medial Osteoarthritis of the Knee Joint |
title_sort |
distal tibial tuberosity focal dome osteotomy combined with intra-articular condylar osteotomy (focal dome condylar osteotomy) for medial osteoarthritis of the knee joint |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2020-08-01 |
description |
High tibial osteotomy for medial-compartment knee osteoarthritis (OA) is an established biological knee reconstruction surgical procedure. In open- and closed-wedge high tibial osteotomy, the angulation correction axes are away from the center of rotation and angulation. This results in translation deformity, which alters the orientation of the adjacent joint and the length of the limb. In the present study, we combined the distal tibial tuberosity focal dome osteotomy centered on the center of rotation and angulation with the longitudinal condylar osteotomy (focal dome condylar osteotomy) for knee OA. The advantages of this procedure are as follows: physiological orientation of adjacent joint is achieved; limb length is maintained; joint stabilization in the coronal plane is achieved; patella infra is prevented; sufficient bone contact between the medial and posterior cortex is achieved; early weight-bearing walking is possible; and fibular osteotomy is not required. This study describes the details of the surgical procedure, including our compass cutter for accurate dome osteotomy and the postoperative rehabilitation program for patients with knee OA and moderate-to-severe varus deformity. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628720300852 |
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