scholarly journals A Case Report of Severe Osteoarthritic Varus deformity of the Knee Challenged by Corrective Osteotomy.

1991 ◽  
Vol 39 (3) ◽  
pp. 962-965
Author(s):  
Tatsuto Tsukiyama ◽  
Sumiyuki Hiyoshi ◽  
Setsuo Nagaishi ◽  
Seikei Miyagi
2017 ◽  
Vol 26 (11) ◽  
pp. e357-e363 ◽  
Author(s):  
Maximiliano Ranalletta ◽  
Agustin Bertona ◽  
Juan M. Rios ◽  
Luciano A. Rossi ◽  
Ignacio Tanoira ◽  
...  

Author(s):  
Dr. Abhinav Kotak ◽  
◽  
Dr. Suresh Rudani ◽  

Background and Aim: Cubitus varus deformity is the most common late complication aftersupracondylar fracture of the distal humerus in children, incidence varying from 4% to 58%. Thepresent study was done to evaluate the results of dome osteotomy. Material and Methods: Thisprospective study was conducted in a tertiary care hospital over 16 months. In all patients humerus-elbow wrist angle was measured on both sides and the correction needed was calculated. The lateralcondyle prominence index (LCPI) was calculated by anteroposterior view radiographs of thedeformed and the normal elbow in full extension by (AB-BC)/AC. Dome osteotomy with para tricepsapproach was used. Pre and post-operative carrying angle of elbow, range of motion and lateralprominence indices were compared. Results: The age of patients ranged from 3 to 15 years with amean age of 8.47±3.14 years. Preoperative carrying angle of normal side ranged from 80 to 140and that of effected side ranged from -23 to -13 and the difference was statistically significant(p<0.05). LCPI ranged from -8.4 to 5.9%. The majority of cases had LCPI >2.7%. As compared to,an improvement in carrying angle at defect side was observed to be 28.41±2.15 which wassignificant (p<0.05). At baseline mean LCPI was 0.39±3.87% which changed to -0.86±3.47%, themean change of this was significant (p=0.01). baseline Conclusion: Dome osteotomy is a relativelytechnically demanding technique for correction of cubitus varus deformity but with a betterfunctional outcome without being associated with lateral condyle prominence.


2021 ◽  
Vol 4 (3) ◽  
pp. 138-141
Author(s):  
Pooja Kamble ◽  
Yojana Navneet Mange ◽  
Binal Dave

Obesity is strongly linked to osteoarthritis (OA) at the knee. Varus malalignment intensifies the effect of excess body weight on the medial tibio femoral compartment. Aquatic therapies are beneficial in the management of patients with musculoskeletal problems, however management specific of osteoarthritis has shown to be effective in reducing Pain, Stiffness and has a high compliance of the patient to the Therapy. Aquatic exercises seems to offer the safest and most protective environment for obese individuals due to the buoyancy effects of immersion, which minimizes the risk of joint injury. Although Aquatic therapy is widely used all over the world, literature on the correcting Physiological knee Varus in Indian population is lacking. This case report is first from India (Mumbai) which shows the beneficial effects of Aquatic therapy on Obese female with OA knee, correction of the physiological Varus and its evidence on a Visual radiographic increased in joint space in knee varus deformity with reduction in Pain and improving her gait pattern & her quality of life.


2017 ◽  
Vol 2 (3) ◽  
pp. 2473011417S0000
Author(s):  
Bibo Wang

Category: Ankle Introduction/Purpose: The etiology of osteochondral defect (OCD) of talus is not fully understood. Besides trauma, malalignment of ankle or hindfoot may play a role in the development of OCD. The aim of this study is to assess the efficacy of peri-talar osteotomy in addition to routine treatment of OCD of talus. Methods: This is a retrospective study of 52 cases of varus talar OCD during the period of 2009.9 to 2014.12. Micro-fracture or autograft transplantation were applied for the OCD first according to the dimension of the lesion in all cases. Then peri-talar osteotomy were performed to correct ankle or hindfoot mal-alignment in 26 cases according to the position of varus deformity, including 18 supramalleolar osteotomy, 6 calcaneal osteotomy and 2 combined distal tibial and calcaneal double osteotomy. Pre- and post-operative radiographic parameters of TAS, TTS, TLS angles and MoA were measured on mortise view, lateral view and hindfoot alignment view respectively. AOFAS-AH score, VAS score and SF36 score were performed to assess both subjective and objective outcome. Results: For the osteotomy group, there were statistically changes (P < 0.05) radiographically (TAS, TTS, MoA, TLS) after surgery. While the radiographic parameters didn’t change in the group without corrective osteotomy. AOFAS-AH score and VAS score increased significantly (P < 0.05) in both the osteotomy group and the non-osteotomy group. The SF36 scores score increased significantly (P < 0.05) in the osteotomy group while not significant in the non-osteotomy group. The AOFAS-AH and SF36 scores were statistically higher in the osteotomy group after surgery (p<0.05), and the VAS score were not statistically different in two groups. There were 5 out of 26 revised cases in the non-osteotomy group while 2 out of 26 revised cases in the osteotomy group. Conclusion: Peri-talar osteotomy in addition to routine treatment of OCD of talus results in better radiographic and functional outcome and lower recurrence for patients of varus talar osteochondral defect. Mechanical malalignment may contribute to progression of OCD of talus and thus should be corrected simultaneously.


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