Search Results
Search for other papers by Philippe Neyret in
Google Scholar
PubMed
Search for other papers by Pierre Hoffmeyer in
Google Scholar
PubMed
Cite this article: EFORT Open Rev 2020;5:742-742. DOI: 10.1302/2058-5241.5.200202
Search for other papers by Cécile Batailler in
Google Scholar
PubMed
Search for other papers by Philippe Neyret in
Google Scholar
PubMed
-
Recurrent patellar dislocation is a disabling condition, which can lead to articular cartilage injuries, osteochondral fractures, recurrent instability, pain, decreased activity and patellofemoral osteoarthritis. Trochlear dysplasia represents an important component of patellar dislocation.
-
Imaging provides an objective basis for the morphological abnormalities and thus allows determination of the surgical strategy according to the concept of ‘à la carte’ surgery.
-
The main surgical techniques of trochleoplasty are the sulcus deepening trochleoplasty, the ‘Bereiter’ trochleoplasty and the recession trochleoplasty.
-
At mid-term, all techniques have shown a postoperative improvement in clinical scores, with a low rate of recurrence of dislocation and a possible return to sport. But these techniques do not halt the progression of patellofemoral arthritis.
Cite this article: EFORT Open Rev 2018;3 DOI: 10.1302/2058-5241.3.170058
Search for other papers by Jonathan G. Robin in
Google Scholar
PubMed
Search for other papers by Philippe Neyret in
Google Scholar
PubMed
-
Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.
-
Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the effects of high tibial osteotomy on knee instability have been studied.
-
Lateral closing-wedge high tibial osteotomy tends to reduce the posterior tibial slope, which has a stabilising effect on anterior tibial instability that occurs with ACL deficiency.
-
Medial opening-wedge high tibial osteotomy tends to increase the posterior tibia slope, which has a stabilising effect in posterior tibial instability that occurs with PCL deficiency.
-
Overall results from recent studies indicate that there is a role for combined ligament reconstruction and periarticular knee osteotomy.
-
The use of high tibial osteotomy has been able to extend the indication for ligament reconstruction which, when combined, may ultimately halt the evolution of arthritis and preserve their natural knee joint for a longer period of time.
Cite this article: Robin JG, Neyret P. High tibial osteotomy in knee laxities: Concepts review and results. EFORT Open Rev 2016;1:3-11. doi: 10.1302/2058-5241.1.000001.
Search for other papers by Timothy Lording in
Google Scholar
PubMed
Search for other papers by Sébastien Lustig in
Google Scholar
PubMed
Search for other papers by Philippe Neyret in
Google Scholar
PubMed
-
Recent studies have challenged the long-held notion that neutral mechanical alignment after total knee arthroplasty leads to optimal function and survivorship.
-
The ideal alignment for function and survivorship may actually be different.
-
Kinematic alignment, where components are implanted to re-create the natural flexion/extension axis of the knee, may lead to improved functional results.
-
Residual varus alignment may not adversely impact survivorship provided the tibial component is implanted in neutral alignment.
Cite this article: Lording T, Lustig S, Neyret P. Coronal alignment after total knee arthroplasty. EFORT Open Rev 2016;1:12-17. doi: 10.1302/2058-5241.1.000002.
