Load distribution in early osteoarthritis

Gomoll, Andreas H. and Angele, Peter and Condello, Vincenzo and Madonna, Vincenzo and Madry, Henning and Randelli, Pietro and Shabshin, Nogah and Verdonk, Peter and Verdonk, Rene (2016) Load distribution in early osteoarthritis. KNEE SURGERY SPORTS TRAUMATOLOGY ARTHROSCOPY, 24 (6). pp. 1815-1825. ISSN 0942-2056, 1433-7347

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Abstract

Total knee replacement is an accepted standard of care for the treatment of advanced knee osteoarthritis with good results in the vast majority of older patients. The use in younger and more active populations, however, remains controversial due to concerns over activity restrictions, implant survival, and patient satisfaction with the procedure. It is in these younger patient populations that alternatives to arthroplasty are increasingly being explored. Historically, osteotomy was utilized to address unicompartmental pain from degeneration and overload, for example, after meniscectomy. Utilization rates of osteotomy have fallen in recent years due to the increasing popularity of partial and total knee arthroplasty. This article explores the indications and outcomes of traditional unloading osteotomy, as well as newer options that are less invasive and offer faster return to function. Level of evidence V.

Item Type: Article
Uncontrolled Keywords: HIGH TIBIAL OSTEOTOMY; MEDIAL COMPARTMENT OSTEOARTHRITIS; LATERAL TIBIOFEMORAL COMPARTMENT; ARTICULAR-CARTILAGE; KNEE OSTEOARTHRITIS; IN-VIVO; VARUS KNEE; LONG-TERM; RETROSPECTIVE EVALUATION; MENISCAL MOVEMENT; Knee osteoarthritis; High tibial osteotomy; Overloading; Early OA
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 25 Mar 2019 13:07
Last Modified: 25 Mar 2019 13:07
URI: https://pred.uni-regensburg.de/id/eprint/2879

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