Prothèse unicompartimentaire et désostéotomie pour échec d’ostéotomie tibiale : une alternative chirurgicale à l’arthroplastie totale de genou - 28/01/19
Failed high tibial osteotomy: A joint preserving alternative to total knee arthroplasty
, Susannah Clarke, Martin Jaere, Justin P. CobbAbstract |
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.
Il testo completo di questo articolo è disponibile in PDF.Keywords : Patient specific instrumentation, 3D printing, High tibial osteotomy, Revision arthroplasty, Unicondylar knee arthroplasty
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology : Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 105 - N° 1
P. 41 - febbraio 2019 Ritorno al numero
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