Rotational Osteotomy for Femoral Version/Tibial Torsion

Area of Science:

• Orthopedic surgery
• Biomechanics
• Radiology

Background:

• Patellofemoral instability is a common clinical problem.
• Axial plane deformities of the femur and tibia are increasingly recognized as contributing factors.
• Current understanding of their assessment and management is evolving.

Purpose of the Study:

• To review the current knowledge on axial plane deformities in patellofemoral instability.
• To discuss indications and techniques for surgical correction.
• To evaluate outcomes following treatment of these deformities.

Main Methods:

• Literature review of studies on axial plane deformities and patellofemoral instability.
• Analysis of imaging techniques for deformity assessment.
• Synthesis of data on surgical techniques and patient outcomes.

Main Results:

• Rotational deformities of the tibia and femur are significant risk factors for patellar instability.
• Surgical correction of these rotational deformities can positively impact patellar stability and reduce knee pain.
• There is a need for more comprehensive literature on deformity assessment, normal values, optimal correction goals, and surgical techniques.

Conclusions:

• Axial plane deformities are critical considerations in managing patellofemoral instability.
• Further research is essential to establish standardized assessment methods, define normal rotational values, and conduct larger outcome studies.
• Surgical correction holds promise but requires further investigation for refined indications and techniques.