Failed high tibial osteotomy: A joint preserving alternative to total knee arthroplasty - 28/01/19
, Susannah Clarke, Martin Jaere, Justin P. Cobb
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Abstract |
High tibial osteotomy is an attractive treatment option for young active patients wishing to return to high-level activities. However, it is not considered a long-term solution, with 30% revised at ten years. Currently, the only revision option is a total knee arthroplasty, a procedure that might not deliver the functional level expected by these highly active patients. This paper describes a novel joint preserving approach to HTO revision, using assistive technology, in the form of 3D printed guides, to reverse the osteotomy and simultaneously perform a unicompartmental knee replacement. The indications and planning aims for this procedure are discussed, and the preliminary results in four patients presented.
Level of evidence |
IV.
Le texte complet de cet article est disponible en PDF.Keywords : Patient specific instrumentation, 3D printing, High tibial osteotomy, Revision arthroplasty, Unicondylar knee arthroplasty
Plan
Vol 105 - N° 1
P. 85-88 - février 2019 Retour au numéro
Article précédent
- Predictive factors for satisfaction after contemporary unicompartmental knee arthroplasty and high tibial osteotomy in isolated medial femorotibial osteoarthritis
- In Jun Koh, Man Soo Kim, Sueen Sohn, Kwang Yun Song, Nam Yong Choi, Hoyoung Jung, Yong In
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- David Bahlau, Philippe Clavert, Henri Favreau, Matthieu Ollivier, Sébastien Lustig, François Bonnomet, Matthieu Ehlinger
Bienvenue sur EM-consulte, la référence des professionnels de santé.