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Gao L, Madry H, Chugaev DV, Denti M, Frolov A, Burtsev M, Magnitskaya N, Mukhanov V, Neyret P, Solomin LN, Sorokin E, Staubli AE, Stone KR, Vilenskiy V, Zayats V, Pape D, Korolev A. Advances in modern osteotomies around the knee : Report on the Association of Sports Traumatology, Arthroscopy, Orthopaedic surgery, Rehabilitation (ASTAOR) Moscow International Osteotomy Congress 2017. J Exp Orthop 2019; 6:9. [PMID: 30805738 PMCID: PMC6389998 DOI: 10.1186/s40634-019-0177-5] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/15/2018] [Accepted: 02/13/2019] [Indexed: 01/03/2023] Open
Abstract
Corrective lower limb osteotomies are innovative and efficient therapeutic procedures for restoring axial alignment and managing unicompartmental knee osteoarthritis. This review presents critical insights into the up-dated clinical knowledge on osteotomies for complex posttraumatic or congenital lower limb deformities with a focus on high tibial osteotomies, including a comprehensive overview of basic principles of osteotomy planning, biomechanical considerations of different implants for osteotomies and insights in specific bone deformity correction techniques. Emphasis is placed on complex cases of lower limb osteotomies associated with ligament and multiaxial instability including pediatric cases, computer-assisted navigation, external fixation for long bone deformity correction and return to sport after such osteotomies. Altogether, these advances in the experimental and clinical knowledge of complex lower limb osteotomies allow generating improved, adapted therapeutic regimens to treat congenital and acquired lower limb deformities.
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Affiliation(s)
- Liang Gao
- Center of Experimental Orthopaedics, Saarland University, Homburg/Saar, Germany.,Cartilage Net of the Greater Region, Homburg/Saar, Germany
| | - Henning Madry
- Center of Experimental Orthopaedics, Saarland University, Homburg/Saar, Germany. .,Cartilage Net of the Greater Region, Homburg/Saar, Germany. .,Department of Orthopaedic Surgery, Saarland University Medical Center, Homburg/Saar, Germany.
| | - Dmitrii V Chugaev
- Vreden Russian Research Institute of Traumatology and Orthopedics, Saint-Petersburg State University, St. Petersburg, Russia
| | - Matteo Denti
- Department of Knee Surgery and Sports Traumatology, IRCCS Istituto Clinico Humanitas, Rozzano, Milan, Italy
| | - Aleksandr Frolov
- People's Friendship University of Russia, Moscow, Russia.,European Clinic of Sports Traumatology and Orthopaedics (ECSTO), Moscow, Russia
| | - Mikhail Burtsev
- People's Friendship University of Russia, Moscow, Russia.,European Clinic of Sports Traumatology and Orthopaedics (ECSTO), Moscow, Russia
| | - Nina Magnitskaya
- European Clinic of Sports Traumatology and Orthopaedics (ECSTO), Moscow, Russia
| | - Victor Mukhanov
- European Clinic of Sports Traumatology and Orthopaedics (ECSTO), Moscow, Russia
| | - Philippe Neyret
- Healthpoint, Abu Dhabi Knee & Sports Medicine Center, Zayed Sports City, Abu Dhabi, United Arab Emirates
| | - Leonid N Solomin
- Vreden Russian Research Institute of Traumatology and Orthopedics, Saint-Petersburg State University, St. Petersburg, Russia
| | - Evgeniy Sorokin
- Vreden Russian Research Institute of Traumatology and Orthopedics, Saint-Petersburg State University, St. Petersburg, Russia
| | | | | | - Viktor Vilenskiy
- Department of Bone Pathology, The Turner Scientific and Research Institute for Children's Orthopedics, St. Petersburg, Russia
| | - Vitaliy Zayats
- Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russia
| | - Dietrich Pape
- Cartilage Net of the Greater Region, Homburg/Saar, Germany.,Department of Orthopedic Surgery, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg.,Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Centre Médical de La Fondation Norbert Metz, Luxembourg, Luxembourg
| | - Andrey Korolev
- People's Friendship University of Russia, Moscow, Russia.,European Clinic of Sports Traumatology and Orthopaedics (ECSTO), Moscow, Russia
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