Author/Editor     Ambrožič, Bogdan; Slokar, Urban; Brulc, Urban; Novak, Samo
Title     Anatomic knee joint realignment
Type     članek
Source     In: Clinical Anatomy of the Knee : an atlas Cham : Springer International Publishing
Publication year     2021
Volume     str. 207-247
Language     eng
Abstract     The concept of surgical osteotomy (osteo = bone, tomy = cut) for the treatment of isolated unicompartmental osteoarthritis of the knee associated with angular deformity has been in existence for decades [1]. Originally popularized by several surgeons in mid-twentieth century, it however failed to gain popularity due to its history of unpredictable and oftentimes poor results [2-4]. The commonly associated complications included high infection rate, loss of correction, and postoperative stiffness of the joint [5, 6]. Osteotomies finally fell out of favor with orthopedic surgeons as evolution of knee prostheses in the 1980s led to subsequent success of knee arthroplasty, especially in low demand and older patients [1, 7]. Only after considerable improvement in surgical techniques, fixation devices and patient selection in the recent years, osteotomy began to regain its past reputation as a highly effective treatment option with fewer complications and reproducible functional outcomes, reaching a survival rate of more than 90% at 5 years and more than 70% at 15 years [1, 8-10].
Keywords     osteoartritis kolena
kotna deformacija
osteotomija
osteoarthritis of the knee
angular deformity
osteotomy