Osteotomies around the Knee
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Osteotomies around the Knee

Indications-Planning-Surgical Techniques using Plate Fixators

Philipp Lobenhoffer, Ronald J. van Heerwaarden, Alex E. Staubli, Roland P. Jakob

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  2. English
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eBook - PDF

Osteotomies around the Knee

Indications-Planning-Surgical Techniques using Plate Fixators

Philipp Lobenhoffer, Ronald J. van Heerwaarden, Alex E. Staubli, Roland P. Jakob

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About This Book

Essential reference for current techniques in joint-preserving knee surgery

Written by leading surgeons with expertise in performing osteotomies around the knee, this book is an essential reference for the current techniques in joint-preserving knee surgery. The book opens with a thorough discussion of physiology, pathophysiology, clinical evaluation, and imaging. It then describes the indications and basic principles of treatment and provides a detailed planning algorithm for high-tibial osteotomy. Separate chapters cover various clinical applications, addressing important topics ranging from the effects of osteotomies on cartilage pressure in the knee to management for failed osteotomies around knee. The book also discusses the latest technological developments in the field, such as computer-assisted navigation and the development of plate fixators.

Features:

  • Clinical insights and practical tips from experts in the field
  • Detailed presentation of surgical techniques
  • Numerous high-quality images and illustrations demonstrating key concepts
  • Discussion of how to manage complications after high-tibial open-wedge osteotomy

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Information

Publisher
AO Publishing, Davos
Year
2008
ISBN
9783131476319
Edition
1
Topic
Medizin
Subtopic
Orthopädie
15
15 
Rotational 
osteotomies 
of 
the 
femur 
and 
the 
tibia
203
K-wires 
can 
now 
be 
withdrawn. 
The 
final 
step 
of 
the 
operation 
is 
to 
replace 
the 
lag 
screw 
by 
a 
bicortical 
locking 
head 
screw. 
As 
in 
the 
proximal 
technique, 
intracompartmental 
decompression 
by 
incision 
of 
the 
fascia 
is 
also 
important 
in 
the 
distal 
tibial 
osteotomy. 
To 
conclude, 
the 
surgical 
outcome 
is 
documented 
radiologically 
(
Fig 
15-10j–k
). 
Redon 
drains 
are 
inserted 
and 
the 
wound 
is 
closed 
in 
layers. 
Fig 
15-10a–k 
Distal 
rotational 
osteotomy 
of 
the 
tibia.
a–b 
Transverse 
osteotomy 
of 
the 
fibula 
in 
the 
mid 
to 
lower 
diaphyseal 
third 
protected 
by 
two 
Hohmann 
retractors.
c 
Slide 
insertion 
of 
the 
plate 
fixator.
d 
After 
positioning 
the 
implant, 
bicortical 
predrilling 
of 
the 
two 
distal 
screw 
holes 
through 
the 
drill 
sleeve. 
e 
Marking 
the 
correction 
angle 
with 
two 
threaded 
wires 
inserted 
proximal 
and 
distal 
to 
the 
osteotomy 
with 
the 
help 
of 
the 
sterile 
goniometer. 
a
b
d
e
c

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