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Alignment Correction Procedures for the Knee: When, Where, and How to Perform

March 01, 2017

Contributors: Jorge Chahla Jr, MD; Jack Anavian, MD; Jonathan Mordechai Frank, MD; Robert F LaPrade, MD, PhD; Justin J Mitchell, MD; BURU GILBERT MOATSHE; George Sanchez, BS

Malalignment of the knee has recently gained increased attention given the desire for joint preservation in young and active patients. It has previously been suggested that varus and valgus malalignment place the medial and lateral compartments of the knee at increased risk for osteoarthritis, and that these variations in anatomic position can also increase the risk for failure of central and collateral ligament repairs or reconstructions. Recently, tibial slope has also played a crucial role in the understanding of ligamentous injury to the knee. Given recent advancements, it is important that surgeons be facile with the surgical approaches and treatment options for patients with these anatomic variations. This video presents three common approaches for correcting malalignment of the knee utilizing a medial opening wedge proximal tibial osteotomy for varus deformity, a lateral distal femoral opening wedge osteotomy for valgus deformity, and an anterolateral opening wedge proximal tibial osteotomy for biplanar correction in a patient with both valgus defmority and decreased tibial slope.

Results for "Pediatric Orthopaedics"

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