Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature
Varus knees with associated cartilage pathologies are not uncommon scenarios that present to orthopaedic surgeons. There is no agreement on the ideal management of varus knees with concomitant cartilage pathology. Through a literature review, the authors tried to answer three main questions: O...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Bioscientifica
2024-03-01
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| Series: | EFORT Open Reviews |
| Subjects: | |
| Online Access: | https://eor.bioscientifica.com/view/journals/eor/9/3/EOR-23-0180.xml |
| _version_ | 1797271965799546880 |
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| author | Ahmed Mabrouk Jae-Sung An Kristian Kley Komal Tapasvi Sachin Tapasvi Matthieu Ollivier |
| author_facet | Ahmed Mabrouk Jae-Sung An Kristian Kley Komal Tapasvi Sachin Tapasvi Matthieu Ollivier |
| author_sort | Ahmed Mabrouk |
| collection | DOAJ |
| description | Varus knees with associated cartilage pathologies are not uncommon scenarios that present to orthopaedic surgeons.
There is no agreement on the ideal management of varus knees with concomitant cartilage pathology.
Through a literature review, the authors tried to answer three main questions:
On October 2022, OVID MEDLINE, EMBASE, and COCHRANE databases were searched. Clinical studies reporting on clinical, radiologic, or macroscopic cartilage regeneration following either isolated knee osteotomy or concomitant osteotomy and a cartilage procedure were reviewed.
Despite controversies, the literature demonstrated favourable outcomes of combined knee osteotomy and a cartilage procedure in patients with substantial deformity and cartilage defects.
Isolated high tibial osteotomy may induce cartilage regeneration in several scenarios and severities of concomitant malalignment and cartilage defects.
There are recommendations that knee osteotomy should be added to a cartilage procedure when an extra-articular deformity of > 5° is detected.
Some studies report good outcomes for combining a knee osteotomy with cartilage grafting, but they lack a control group of isolated osteotomy.
There is still scarce of evidence on the influence of osteotomies on cartilage regeneration and the outcomes of concomitant osteotomy and different cartilage procedures vs isolated osteotomies.
With advanced statistical evaluation (artificial intelligence, machine learning) of big datasets, more answers and better results will be delivered. |
| first_indexed | 2024-03-07T14:17:47Z |
| format | Article |
| id | doaj.art-b8a7ca85d583425abe458c251a889494 |
| institution | Directory Open Access Journal |
| issn | 2058-5241 |
| language | English |
| last_indexed | 2024-03-07T14:17:47Z |
| publishDate | 2024-03-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | EFORT Open Reviews |
| spelling | doaj.art-b8a7ca85d583425abe458c251a8894942024-03-06T11:00:06ZengBioscientificaEFORT Open Reviews2058-52412024-03-0193173180https://doi.org/10.1530/EOR-23-0180Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literatureAhmed Mabrouk0Jae-Sung An1Kristian Kley2Komal Tapasvi3Sachin Tapasvi4Matthieu Ollivier5Mid Yorkshire Teaching Hospitals, Yorkshire, United Kingdom; Institut du mouvement et de l’appareil locomoteur, Marseille, FranceInstitut du mouvement et de l’appareil locomoteur, Marseille, FranceOrthoprofis Hannover, Hannover, GermanyThe Orthopaedic Speciality Clinic, Pune, IndiaThe Orthopaedic Speciality Clinic, Pune, IndiaInstitut du mouvement et de l’appareil locomoteur, Marseille, FranceVarus knees with associated cartilage pathologies are not uncommon scenarios that present to orthopaedic surgeons. There is no agreement on the ideal management of varus knees with concomitant cartilage pathology. Through a literature review, the authors tried to answer three main questions: On October 2022, OVID MEDLINE, EMBASE, and COCHRANE databases were searched. Clinical studies reporting on clinical, radiologic, or macroscopic cartilage regeneration following either isolated knee osteotomy or concomitant osteotomy and a cartilage procedure were reviewed. Despite controversies, the literature demonstrated favourable outcomes of combined knee osteotomy and a cartilage procedure in patients with substantial deformity and cartilage defects. Isolated high tibial osteotomy may induce cartilage regeneration in several scenarios and severities of concomitant malalignment and cartilage defects. There are recommendations that knee osteotomy should be added to a cartilage procedure when an extra-articular deformity of > 5° is detected. Some studies report good outcomes for combining a knee osteotomy with cartilage grafting, but they lack a control group of isolated osteotomy. There is still scarce of evidence on the influence of osteotomies on cartilage regeneration and the outcomes of concomitant osteotomy and different cartilage procedures vs isolated osteotomies. With advanced statistical evaluation (artificial intelligence, machine learning) of big datasets, more answers and better results will be delivered.https://eor.bioscientifica.com/view/journals/eor/9/3/EOR-23-0180.xmlknee osteotomycartilageosteochondralautograftallograft |
| spellingShingle | Ahmed Mabrouk Jae-Sung An Kristian Kley Komal Tapasvi Sachin Tapasvi Matthieu Ollivier Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature EFORT Open Reviews knee osteotomy cartilage osteochondral autograft allograft |
| title | Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature |
| title_full | Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature |
| title_fullStr | Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature |
| title_full_unstemmed | Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature |
| title_short | Combined knee osteotomy and cartilage procedure for varus knees: friend or foe? A narrative review of the literature |
| title_sort | combined knee osteotomy and cartilage procedure for varus knees friend or foe a narrative review of the literature |
| topic | knee osteotomy cartilage osteochondral autograft allograft |
| url | https://eor.bioscientifica.com/view/journals/eor/9/3/EOR-23-0180.xml |
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