Surgical treatment of medial knee osteoarthritis with coronal subluxation of tibiofemoral joint

doi:10.3877/cma.j.issn.1674-134X.2024.05.014

Abstract

Abstract:

Medial compartment knee osteoarthritis is the main type of knee osteoarthritis. Some existing studies have found a close relationship between coronaltibiofemoral subluxation and knee osteoarthritis，but the impact of the coronal tibial-femoral subluxation （CTFS） is rarely considered in the X-ray evaluation of knee osteoarthritis （OA）. Open wedge high tibial osteotomy （OWHTO） is a commonly used knee-preserving treatment method that can correct knee joint deformities， adjust lower limb alignment， change joint load distribution， and improve symptoms of knee osteoarthritis. Studies have shown that performing OWHTO on patients with medial compartment knee osteoarthritis can improve the biomechanical status of the knee joint and promote the recovery of knee joint function. This article summarized the relationship between medial compartment knee osteoarthritis and CTFS， the measurement of CTFS， and the correction of CTFS by OWHTO in recent years， providing better reference for clinical work.

Key words: Osteotomy, Joint subluxation, Knee osteoarthritis

Jiale Xie, Qi Li, Shengsheng Lu, Jinsong Jiang. Surgical treatment of medial knee osteoarthritis with coronal subluxation of tibiofemoral joint[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2024, 18(05): 653-657.

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URL: https://zhgjwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-134X.2024.05.014

https://zhgjwkzz.cma-cmc.com.cn/EN/Y2024/V18/I05/653

Figures/Tables 1

Figure 1 Three measurement methods of the preoperative CTFS value for HTO on weight bearing full-length X ray images. A shows first method： a line perpendicular to the ground is made through the outermost point of the lateral femoral condyle and the outermost point of the tibial plateau， the distance between the two straight lines is CTFS value； B shows the second method： the first line is connection between the midpoint of the femoral shaft （about 120 mm away from the distal femoral articular surface） and the apex of the intercondylar fossa，the second line is connection between the midpoint of the tibial shaft （about 120 mm away from the proximal tibial articular surface） and the midpoint of the tibial crest， thus the distance between the intersection points of the two lines and the tangent line of the tibial plateau is the CTFS value； C shows the third method： a parallel line to the tibial mechanical axis is made through the apex of the intercondylar fossa of the femur， and the distance between the two lines is the CTFS value

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