Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up
Distal femoral varus osteotomy (DFVO) may be indicated for symptomatic lateral compartment gonarthrosis associated with valgus deformity in younger, active patients. Thirty-three consecutive DFVOs (31 patients) with a minimum follow-up of ten years (mean 15.1, range 10–25) were reviewed. Fifteen DFV...
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| Veröffentlicht in: | International orthopaedics 2010-02, Vol.34 (2), p.249-254 |
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| creator | Kosashvili, Yona Safir, Oleg Gross, Allan Morag, Guy Lakstein, Dror Backstein, David |
| description | Distal femoral varus osteotomy (DFVO) may be indicated for symptomatic lateral compartment gonarthrosis associated with valgus deformity in younger, active patients. Thirty-three consecutive DFVOs (31 patients) with a minimum follow-up of ten years (mean 15.1, range 10–25) were reviewed. Fifteen DFVOs were converted to total knee arthroplasty (TKA) and one DFVO was awaiting TKA, reaching an overall failure rate of 48.5% at a mean of 15.6 years (range 6–21.5). Of the remaining 17 DFVOs, ten (58.8%) had good or excellent results, two (11.8%) had fair results and five (29.4%) had poor results. Mean modified Knee Society scores improved significantly (
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| doi_str_mv | 10.1007/s00264-009-0807-0 |
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p
< 0.01) from 36.8 preoperatively to 77.5 at one year post DFVO. DFVO is a viable treatment alternative for lateral compartment gonarthrosis. Conversion to TKA is expected to be required in approximately half of the patients at a mean of 15.6 years.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-009-0807-0</identifier><identifier>PMID: 19468727</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adult ; Arthroplasty (knee) ; Arthroplasty - adverse effects ; Arthroplasty - methods ; Arthroplasty, Replacement, Knee ; Female ; Femur ; Femur - surgery ; Follow-Up Studies ; Humans ; Joint Deformities, Acquired - etiology ; Joint Deformities, Acquired - physiopathology ; Joint Deformities, Acquired - surgery ; Knee ; Knee Joint - pathology ; Knee Joint - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Osteoarthritis ; Osteoarthritis, Knee - complications ; Osteoarthritis, Knee - physiopathology ; Osteoarthritis, Knee - surgery ; osteotomy ; Osteotomy - adverse effects ; Osteotomy - methods ; Range of Motion, Articular ; Recovery of Function ; Reoperation - methods ; Retrospective Studies ; Severity of Illness Index ; Treatment Outcome ; Young Adult</subject><ispartof>International orthopaedics, 2010-02, Vol.34 (2), p.249-254</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-2f76407e56fa3bfb52b054af74fdb3c4348a9b07ea2f6ea9d3223b887b6be0b83</citedby><cites>FETCH-LOGICAL-c474t-2f76407e56fa3bfb52b054af74fdb3c4348a9b07ea2f6ea9d3223b887b6be0b83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899359/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899359/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,27929,27930,41493,42562,51324,53796,53798</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19468727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kosashvili, Yona</creatorcontrib><creatorcontrib>Safir, Oleg</creatorcontrib><creatorcontrib>Gross, Allan</creatorcontrib><creatorcontrib>Morag, Guy</creatorcontrib><creatorcontrib>Lakstein, Dror</creatorcontrib><creatorcontrib>Backstein, David</creatorcontrib><title>Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Distal femoral varus osteotomy (DFVO) may be indicated for symptomatic lateral compartment gonarthrosis associated with valgus deformity in younger, active patients. Thirty-three consecutive DFVOs (31 patients) with a minimum follow-up of ten years (mean 15.1, range 10–25) were reviewed. Fifteen DFVOs were converted to total knee arthroplasty (TKA) and one DFVO was awaiting TKA, reaching an overall failure rate of 48.5% at a mean of 15.6 years (range 6–21.5). Of the remaining 17 DFVOs, ten (58.8%) had good or excellent results, two (11.8%) had fair results and five (29.4%) had poor results. Mean modified Knee Society scores improved significantly (
p
< 0.01) from 36.8 preoperatively to 77.5 at one year post DFVO. DFVO is a viable treatment alternative for lateral compartment gonarthrosis. Conversion to TKA is expected to be required in approximately half of the patients at a mean of 15.6 years.</description><subject>Adult</subject><subject>Arthroplasty (knee)</subject><subject>Arthroplasty - adverse effects</subject><subject>Arthroplasty - methods</subject><subject>Arthroplasty, Replacement, Knee</subject><subject>Female</subject><subject>Femur</subject><subject>Femur - surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Joint Deformities, Acquired - etiology</subject><subject>Joint Deformities, Acquired - physiopathology</subject><subject>Joint Deformities, Acquired - surgery</subject><subject>Knee</subject><subject>Knee Joint - pathology</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Osteoarthritis, Knee - complications</subject><subject>Osteoarthritis, Knee - physiopathology</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>osteotomy</subject><subject>Osteotomy - adverse effects</subject><subject>Osteotomy - methods</subject><subject>Range of Motion, Articular</subject><subject>Recovery of Function</subject><subject>Reoperation - methods</subject><subject>Retrospective Studies</subject><subject>Severity of Illness Index</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtvFDEQhC1ERJbAD-CC5gYXQ_sx9pgDEgokIEXKJTlb9mw7O2FmvNieoP33eNkVj0tOLbm-KnW7CHnF4B0D0O8zAFeSAhgKHWgKT8iKScFpy0z7lKxASEa5Mu0peZ7zPQDTqmPPyCkzUnWa6xXpPw-5uLEJOMVU54NLS25iLhhLnHZNiKkZXcG99vvVpbJJQxkqFJqyweb7jPihcc00zMO0TE3Bme7QpWodx_iTLtsX5CS4MePL4zwjtxdfbs6_0qvry2_nn65oL7UslAetJGhsVXDCB99yD610Qcuw9qKXQnbO-Ao4HhQ6sxacC9912iuP4DtxRj4ecreLn3Dd41zq2nabhsmlnY1usP8r87Cxd_HB8s4Y0Zoa8OYYkOKPBXOx05B7HEc3Y1yy1UIYyVolK_n2UZIBr4UoAKgoO6B9ijknDH8WYmD3NdpDjbbWaPc12r3n9b-X_HUce6sAPwC5SvMdJnsflzTX330k9Rdfhaq1</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Kosashvili, Yona</creator><creator>Safir, Oleg</creator><creator>Gross, Allan</creator><creator>Morag, Guy</creator><creator>Lakstein, Dror</creator><creator>Backstein, David</creator><general>Springer-Verlag</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20100201</creationdate><title>Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up</title><author>Kosashvili, Yona ; Safir, Oleg ; Gross, Allan ; Morag, Guy ; Lakstein, Dror ; Backstein, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-2f76407e56fa3bfb52b054af74fdb3c4348a9b07ea2f6ea9d3223b887b6be0b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Arthroplasty (knee)</topic><topic>Arthroplasty - adverse effects</topic><topic>Arthroplasty - methods</topic><topic>Arthroplasty, Replacement, Knee</topic><topic>Female</topic><topic>Femur</topic><topic>Femur - surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Joint Deformities, Acquired - etiology</topic><topic>Joint Deformities, Acquired - physiopathology</topic><topic>Joint Deformities, Acquired - surgery</topic><topic>Knee</topic><topic>Knee Joint - pathology</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Osteoarthritis, Knee - complications</topic><topic>Osteoarthritis, Knee - physiopathology</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>osteotomy</topic><topic>Osteotomy - adverse effects</topic><topic>Osteotomy - methods</topic><topic>Range of Motion, Articular</topic><topic>Recovery of Function</topic><topic>Reoperation - methods</topic><topic>Retrospective Studies</topic><topic>Severity of Illness Index</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kosashvili, Yona</creatorcontrib><creatorcontrib>Safir, Oleg</creatorcontrib><creatorcontrib>Gross, Allan</creatorcontrib><creatorcontrib>Morag, Guy</creatorcontrib><creatorcontrib>Lakstein, Dror</creatorcontrib><creatorcontrib>Backstein, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kosashvili, Yona</au><au>Safir, Oleg</au><au>Gross, Allan</au><au>Morag, Guy</au><au>Lakstein, Dror</au><au>Backstein, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>34</volume><issue>2</issue><spage>249</spage><epage>254</epage><pages>249-254</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Distal femoral varus osteotomy (DFVO) may be indicated for symptomatic lateral compartment gonarthrosis associated with valgus deformity in younger, active patients. Thirty-three consecutive DFVOs (31 patients) with a minimum follow-up of ten years (mean 15.1, range 10–25) were reviewed. Fifteen DFVOs were converted to total knee arthroplasty (TKA) and one DFVO was awaiting TKA, reaching an overall failure rate of 48.5% at a mean of 15.6 years (range 6–21.5). Of the remaining 17 DFVOs, ten (58.8%) had good or excellent results, two (11.8%) had fair results and five (29.4%) had poor results. Mean modified Knee Society scores improved significantly (
p
< 0.01) from 36.8 preoperatively to 77.5 at one year post DFVO. DFVO is a viable treatment alternative for lateral compartment gonarthrosis. Conversion to TKA is expected to be required in approximately half of the patients at a mean of 15.6 years.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19468727</pmid><doi>10.1007/s00264-009-0807-0</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Arthroplasty (knee) Arthroplasty - adverse effects Arthroplasty - methods Arthroplasty, Replacement, Knee Female Femur Femur - surgery Follow-Up Studies Humans Joint Deformities, Acquired - etiology Joint Deformities, Acquired - physiopathology Joint Deformities, Acquired - surgery Knee Knee Joint - pathology Knee Joint - surgery Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Osteoarthritis Osteoarthritis, Knee - complications Osteoarthritis, Knee - physiopathology Osteoarthritis, Knee - surgery osteotomy Osteotomy - adverse effects Osteotomy - methods Range of Motion, Articular Recovery of Function Reoperation - methods Retrospective Studies Severity of Illness Index Treatment Outcome Young Adult |
| title | Distal femoral varus osteotomy for lateral osteoarthritis of the knee: a minimum ten-year follow-up |
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