Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Total knee replacement after valgus tibial osteotomy. Technical problems].

P Neyret1, P Deroche, G Deschamps

  • 1Service de Chirurgie Orthopédique, Centre Hospitalier Lyon Sud, Pierre Bénite.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Less risk of conversion to total knee arthroplasty without significant clinical and survivorship difference for opening-wedge high tibial osteotomies in varus knee deformities at 10-year minimum follow-up compared to closing-wedge high tibial osteotomies.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2022
Same author

No significant clinical and radiological differences between fixed versus mobile bearing total knee replacement using the same semi-constrained implant type: a randomized controlled trial with mean 10 years follow-up.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2020
Same author

Early complications and causes of revision after rotating-hinge TKA.

Archives of orthopaedic and trauma surgery·2019
Same author

Combined ACL reconstruction and opening wedge high tibial osteotomy at 10-year follow-up: excellent laxity control but uncertain return to high level sport.

Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA·2019
Same author

Combined Patellar Tendon lengthening and partial Extensor Mechanism Allograft reconstruction for the treatment of patella infera: A case report.

The Knee·2019
Same author

Faster return to sport after robotic-assisted lateral unicompartmental knee arthroplasty: a comparative study.

Archives of orthopaedic and trauma surgery·2018
Same journal

[Isokinetic assessment with two years follow-up of anterior cruciate ligament reconstruction with patellar tendon or hamstring tendons].

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur·2009
Same journal

[Impact of anterior knee pain on mid term outcome after anterior cruciate ligament reconstruction].

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur·2009
Same journal

[The effect of the posterolateral bundle in the anterior cruciate ligament reconstruction].

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur·2009
Same journal

[Clinical, radiological and arthroscopic analysis of the ACL tear. A prospective study of 418 cases].

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur·2009
Same journal

[The ACL tear from the pre-operative analysis to a 2-year follow-up, influence of the graft choice on the subjective and objective evaluation].

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur·2009
Same journal

[Shoulder calcifying tendinitis].

Revue de chirurgie orthopedique et reparatrice de l'appareil moteur·2009
See all related articles

Total knee replacement after valgus tibial osteotomy presents challenges, leading to worse walking distance and flexion. However, functional scores remain comparable to primary replacements, indicating good outcomes despite technical difficulties.

Area of Science:

  • Orthopedic Surgery
  • Biomedical Engineering

Background:

  • Valgus tibial osteotomy is a surgical procedure to correct lower limb deformities.
  • Total knee replacement (TKR) is a common treatment for severe knee osteoarthritis.

Purpose of the Study:

  • To analyze the outcomes of total knee replacement (TKR) performed after valgus tibial osteotomy.
  • To identify specific challenges and compare functional results with primary TKR.

Main Methods:

  • Retrospective analysis of 40 TKRs following valgus tibial osteotomy.
  • Comparison with a control group of 208 primary TKRs for osteoarthritis.
  • Assessment of functional outcomes using walking distance, flexion angle, GUEPAR, and HSS scores.
  • Radiographic evaluation including weight-bearing X-rays and long-leg films.

Related Experiment Videos

Main Results:

  • TKR after valgus tibial osteotomy presented challenges like asymmetrical bone cuts and ligament laxity.
  • Patients with prior osteotomy showed reduced walking distance and flexion compared to primary TKR (p < 0.001).
  • GUEPAR and HSS scores were similar between groups (77.2 +/- 2.3).
  • Radiographic findings included 18.8% ligament laxity and 40.6% radiolucent lines, similar to controls.
  • Mean tibio-femoral mechanical axis showed a 0.7-degree varus angle.

Conclusions:

  • Total knee replacement after valgus tibial osteotomy can achieve good functional results, despite technical difficulties.
  • While functional metrics like walking and flexion are impacted, patient-reported outcomes are comparable to primary TKR.
  • Careful surgical technique is crucial to manage bone and ligament issues in these complex cases.