Scholarlink

<p>Varus deformity of the limb axis is a&#xa0;significant risk factor for the development of medial knee osteoarthritis. One established treatment option is open-wedge high tibial osteotomy (OWHTO), which corrects the limb axis and reduces medial knee-joint loading. In this case study, the correction of a&#xa0;varus deformity from 5.4° to&#xa0;0.6° in a&#xa0;42-year-old patient with medial cartilage damage was achieved through OWHTO. Although the correction of the limb axis was successful, 3 months postoperatively, normalization of the knee abduction moment was observed, but not of the internal joint moments in the sagittal plane. The instrumented gait analysis allows precise measurement of dynamic joint loading and in the future could help to identify patients who benefit from moderate overcorrection. Preoperative analyses and continuous postoperative monitoring are necessary to assess the long-term outcomes of OWHTO and its impact on joint loading.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Stellenwert der Bewegungsanalytik bei Umstellungsosteotomien in der Frontalebene

  • 期刊论文

  • 发表日期：

    2025年4月29日

查看全文
  • Arthur Praetorius

摘要

Varus deformity of the limb axis is a significant risk factor for the development of medial knee osteoarthritis. One established treatment option is open-wedge high tibial osteotomy (OWHTO), which corrects the limb axis and reduces medial knee-joint loading. In this case study, the correction of a varus deformity from 5.4° to 0.6° in a 42-year-old patient with medial cartilage damage was achieved through OWHTO. Although the correction of the limb axis was successful, 3 months postoperatively, normalization of the knee abduction moment was observed, but not of the internal joint moments in the sagittal plane. The instrumented gait analysis allows precise measurement of dynamic joint loading and in the future could help to identify patients who benefit from moderate overcorrection. Preoperative analyses and continuous postoperative monitoring are necessary to assess the long-term outcomes of OWHTO and its impact on joint loading.