LATERAL EPICONDYLE SLIDING OSTEOTOMY IN KNEE ARTHROPLASTIES WITH VALGUS DEFORMITY.

IF 0.5 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2024-05-06 eCollection Date: 2024-01-01 DOI:10.1590/1413-785220243201e268054

Alessandro Rozim Zorzi, Bruno Suaed Foss, Pedro Henrique Calegari Moraes, Plínio de Almeida Martins de Souza, Gustavo Constantino de Campos, João Batista de Miranda

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Abstract

Objective: To evaluate the efficacy and safety of sliding osteotomy of the lateral epicondyle in correcting rigid valgus deformity in knee arthroplasty.

Methods: A retrospective study of patients undergoing total knee arthroplasty with lateral epicondyle sliding osteotomy between 2006 and 2018. The main outcome was the incidence of complications and adverse events. Secondary outcomes were Visual Analog Scale for Pain, varus stress test, and varus knee thrust during gait.

Results: 19 knees (19 participants) were included in the study. The mean follow-up was 4.2 years. There were no cases of infection or reoperation due to instability. Two participants (10.5%) had mild or moderate knee pain (VAS pain = 4.6 ± 1.9). Two arthroplasties (10.5%) had mild varus stress. No participant presented varus thrust.

Conclusion: Sliding osteotomy of the lateral epicondyle allows fast and safe ligament balance of knee valgus deformities. Level of Evidence I, Case series.

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外侧髁滑动截骨术在膝关节外翻畸形中的应用

目的评估外侧髁滑动截骨术在膝关节置换术中矫正硬性外翻畸形的有效性和安全性：对2006年至2018年间接受外侧髁滑动截骨术的全膝关节置换术患者进行回顾性研究。主要结果是并发症和不良事件的发生率。次要结果为疼痛视觉模拟量表、屈曲压力测试和步态时膝关节屈曲推力：研究共纳入 19 个膝关节（19 名参与者）。平均随访时间为 4.2 年。没有感染病例或因不稳定而再次手术的病例。两名参与者（10.5%）有轻度或中度膝关节疼痛（VAS 疼痛 = 4.6 ± 1.9）。两名关节置换者（10.5%）有轻度膝关节屈曲应力。结论：结论：外侧髁滑动截骨术可快速、安全地平衡膝关节外翻畸形的韧带。证据等级 I，病例系列。

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.