التفاصيل البيبلوغرافية
| العنوان: |
Osteotomies around the knee alter alignment of the ankle and hindfoot: a systematic review of biomechanical and clinical studies |
| المؤلفون: |
Aline Van Oevelen, Arne Burssens, Nicola Krähenbühl, Alexej Barg, Bernhard Devos Bevernage, Emmanuel Audenaert, Beat Hintermann, Jan Victor |
| المصدر: |
EFORT Open Reviews, Vol 8, Iss 11, Pp 818-829 (2023) |
| بيانات النشر: |
Bioscientifica, 2023. |
| سنة النشر: |
2023 |
| المجموعة: |
LCC:Orthopedic surgery |
| مصطلحات موضوعية: |
knee osteotomy, hindfoot alignment, deformity correction, biomechanical characteristics, clinical outcome, radiographic analysis, Orthopedic surgery, RD701-811 |
| الوصف: |
Purpose: Emerging reports suggest an important involvement of the ankle/hindfoot alignment in the outcome of knee osteotomy; however, a comprehensive overview is currently not available. Therefore, we systematically reviewed all studies investigating biomechanical and clinical outcomes related to the ankle/hindfoot following knee osteotomies. Methods: A systematic literature search was conducted on PubMed, Web of Science, EMBASE and Cochrane Library according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered on international prospective register of systematic reviews (PROSPERO) (CRD42021277189). Combining knee osteotomy and ankle/hindfoot alignment, all biomechanical and clinical studies were included. Studies investigating knee osteotomy in conjunction with total knee arthroplasty and case reports were excluded. The QUality Appraisal for Cadaveric Studies (QUACS) scale and Methodological Index for Non-Randomized Studies (MINORS) scores were used for quality assessment. Results: Out of 3554 hits, 18 studies were confirmed eligible, including 770 subjects. The minority of studies (n = 3) assessed both high tibial- and distal femoral osteotomy. Following knee osteotomy, the mean tibiotalar contact pressure decreased (n = 4) except in the presence of a rigid subtalar joint (n = 1) or a talar tilt deformity (n = 1). Patient symptoms and/or radiographic alignment at the level of the ankle/hindfoot improved after knee osteotomy (n = 13). However, factors interfering with an optimal outcome were a small preoperative lateral distal tibia angle, a small hip–knee–ankle axis (HKA) angle, a large HKA correction (>14.5°) and a preexistent hindfoot deformity (>15.9°). Conclusions: Osteotomies to correct knee deformity alter biomechanical and clinical outcomes at the level of the ankle/hindfoot. In general, these changes were beneficial, but several parameters were identified in association with deterioration of ankle/hindfoot symptoms following knee osteotomy. |
| نوع الوثيقة: |
article |
| وصف الملف: |
electronic resource |
| اللغة: |
English |
| تدمد: |
2058-5241 |
| Relation: |
https://eor.bioscientifica.com/view/journals/eor/8/11/EOR-23-0104.xml; https://doaj.org/toc/2058-5241 |
| DOI: |
10.1530/EOR-23-0104 |
| URL الوصول: |
https://doaj.org/article/67dfed9464de403eb2ba93aee4d94dd1 |
| رقم الانضمام: |
edsdoj.67dfed9464de403eb2ba93aee4d94dd1 |
| قاعدة البيانات: |
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