Osteotomies in the Multiple Ligament Injured Knee: When Is It Necessary?

Niv Marom; Norimasa Nakamura; Robert G. Marx; Michael J. Stuart

doi:10.1016/j.csm.2018.11.003

Osteotomies in the Multiple Ligament Injured Knee: When Is It Necessary?

Niv Marom, Norimasa Nakamura, Robert G. Marx^*, Michael J. Stuart

^*Corresponding author for this work

Research output: Contribution to journal › Review article › peer-review

Abstract

The multiple ligament-injured knee is a complex injury requiring a comprehensive and thorough evaluation prior to tailoring an appropriate treatment plan. Surgical repair and reconstruction of the involved ligaments are frequently discussed in the literature; however, osteotomy to correct limb malalignment may be just as important to obtaining a good outcome. Limb realignment must be carefully evaluated and treated. Isolated soft tissue procedures are prone to failure if significant malalignment, deformity, and thrust are ignored. In select cases, osteotomy can lead to restored mechanical stability, optimal joint load distribution, improved survival of simultaneous soft tissue procedures, and better patient outcomes.

Original language	English
Pages (from-to)	297-304
Number of pages	8
Journal	Clinics in Sports Medicine
Volume	38
Issue number	2
DOIs	https://doi.org/10.1016/j.csm.2018.11.003
State	Published - Apr 2019
Externally published	Yes

Keywords

Closing wedge osteotomy
Coronal malalignment
Multiple ligament-injured knee
Opening wedge osteotomy
Osteotomy
Posterior tibial slope
Triple varus
Varus thrust

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10.1016/j.csm.2018.11.003

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title = "Osteotomies in the Multiple Ligament Injured Knee: When Is It Necessary?",

abstract = "The multiple ligament-injured knee is a complex injury requiring a comprehensive and thorough evaluation prior to tailoring an appropriate treatment plan. Surgical repair and reconstruction of the involved ligaments are frequently discussed in the literature; however, osteotomy to correct limb malalignment may be just as important to obtaining a good outcome. Limb realignment must be carefully evaluated and treated. Isolated soft tissue procedures are prone to failure if significant malalignment, deformity, and thrust are ignored. In select cases, osteotomy can lead to restored mechanical stability, optimal joint load distribution, improved survival of simultaneous soft tissue procedures, and better patient outcomes.",

keywords = "Closing wedge osteotomy, Coronal malalignment, Multiple ligament-injured knee, Opening wedge osteotomy, Osteotomy, Posterior tibial slope, Triple varus, Varus thrust",

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Osteotomies in the Multiple Ligament Injured Knee: When Is It Necessary?

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Keywords

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