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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1998-7-7
|
| pubmed:abstractText |
Twenty-one patients with lateral compartment osteoarthritis and valgus deformity of the knee underwent distal femoral supracondylar osteotomy (medial closing wedge) between 1983 and 1993 with follow-up ranging from 1 to 8 years. Ten knees had plaster cast immobilization, 5 had fixation with 2 staples supplemented with a plaster cast, and 6 knees had rigid internal fixation with an AO blade plate. Thirty-three percent of patients had a satisfactory result using the HSS score, and 57% had a satisfactory result using the Knee Society Clinical Rating. Fifty-seven percent had a significant complication, including severe knee stiffness requiring manipulation under anesthesia (48%), nonunion/delayed union (19%), infection (10%), and fixation failure (5%). Five (19%) knees required total knee replacement within 5 years of surgery. Satisfactory results were obtained only in those patients who had less severe degrees of osteoarthritis confined to the lateral compartment (grades I to III), adequate correction of valgus deformity (the anatomical axis within 2 degrees from zero), and rigid internal fixation to permit postoperative early mobilization. These results indicate that distal femoral osteotomy is a satisfactory procedure in the young, active patient with osteoarthritis of the lateral compartment of the knee, but requires precise surgical technique and rigid internal fixation.
|
| pubmed:commentsCorrections | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Apr
|
| pubmed:issn |
0147-7447
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
21
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
437-40
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:9571677-Adult,
pubmed-meshheading:9571677-Aged,
pubmed-meshheading:9571677-Casts, Surgical,
pubmed-meshheading:9571677-Female,
pubmed-meshheading:9571677-Femur,
pubmed-meshheading:9571677-Follow-Up Studies,
pubmed-meshheading:9571677-Humans,
pubmed-meshheading:9571677-Knee Joint,
pubmed-meshheading:9571677-Male,
pubmed-meshheading:9571677-Middle Aged,
pubmed-meshheading:9571677-Osteoarthritis,
pubmed-meshheading:9571677-Osteotomy,
pubmed-meshheading:9571677-Postoperative Complications,
pubmed-meshheading:9571677-Retrospective Studies,
pubmed-meshheading:9571677-Sutures,
pubmed-meshheading:9571677-Treatment Outcome
|
| pubmed:year |
1998
|
| pubmed:articleTitle |
Distal femoral osteotomy for lateral compartment osteoarthritis of the knee.
|
| pubmed:affiliation |
Institute of Orthopaedics, London Royal National Orthopaedic Hospital, Stanmore, Middlesex, United Kingdom.
|
| pubmed:publicationType |
Journal Article
|