Lateral femoral sliding osteotomy: Lateral release in total knee arthroplasty for a fixed valgus deformity

We treated 13 patients who had a fixed valgus deformity of the knee with a semiconstrained total knee arthroplasty combined with advancement of the lateral collateral ligament by means of a lateral femoral condylar sliding osteotomy. At follow-up of between one and 6.5 years all patients were assess...

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Bibliographic Details
Published in:	Journal of bone and joint surgery. British volume Vol. 84; no. 8; pp. 1131 - 1137
Main Authors:	BRILHAULT, J, LAUTMAN, S, FAVARD, L, BURDIN, P
Format:	Journal Article
Language:	English
Published:	London British Editorial Society of Bone and Joint Surgery 01-11-2002 British Editorial Society of Bone & Joint Surgery
Edition:	British volume
Subjects:	Aged Aged, 80 and over Arthritis, Rheumatoid - complications Arthritis, Rheumatoid - surgery Arthroplasty, Replacement, Knee Biological and medical sciences Female Femur - surgery Humans Joint Deformities, Acquired - etiology Joint Deformities, Acquired - surgery Knee Joint - surgery Knee Prosthesis Ligaments, Articular - surgery Male Medical sciences Orthopedic surgery Osteoarthritis, Knee - complications Osteoarthritis, Knee - surgery Osteotomy - methods Prospective Studies Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Treatment Outcome Knee Human Corrective surgery Femur Deformation Prognosis Osteotomy Prosthesis Diseases of the osteoarticular system Lower limb Lower extremity Knee disease Orthopedic surgery Treatment Total Technique Genu valgum
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Summary:	We treated 13 patients who had a fixed valgus deformity of the knee with a semiconstrained total knee arthroplasty combined with advancement of the lateral collateral ligament by means of a lateral femoral condylar sliding osteotomy. At follow-up of between one and 6.5 years all patients were assessed using the Knee Society score. The mean knee score improved from 32 to 88 and the functional score from 45 to 73. The mean tibiofemoral angle was corrected from 191 degrees to 180 degrees. There was no postoperative tibiofemoral or patellar instability and, in most knees, distal transposition of the lateral femoral condyle achieved satisfactory stable alignment.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0301-620X 2049-4394 2044-5377 2049-4408
DOI:	10.1302/0301-620X.84B8.12824