Ostectomía parcial del peroné y artroscopia en la gonartrosis medial con deformidad en varo

Tuan Nguyen Pham, Alejandro Álvarez López, Fior Daliza Aquino Medina

Texto completo:

PDF HTML XML
Imagen de portada

Resumen

Fundamento: la artrosis de la rodilla con deformidad angular es frecuente y por lo general demanda de tratamiento quirúrgico de diferentes modalidades, que conservan o no la articulación.
Objetivo:
profundizar en las ventajas de la ostectomía parcial del peroné asociada a la artroscopia en pacientes con artrosis de la rodilla y deformidad angular en varo.
Métodos:
la búsqueda de la información se realizó en un periodo de cuatro meses (primero de junio de 2017 al 30 de septiembre de 2017), se emplearon las siguientes palabras: osteoarthritis of the knee, knee arthroscopy, varus deformity, fibular ostectomy y knee osteotomy, a partir de la información obtenida se realizó una revisión bibliográfica de un total de 171 artículos publicados en las bases de datos PubMed, Hinari, SciELO y Medline mediante el gestor de búsqueda y administrador de referencias EndNote, de ellos se utilizaron 47 citas seleccionadas para realizar la revisión, 38 de ellas de los últimos cinco años donde se incluyeron siete libros.
Desarrollo:
se abordaron los tipos de deformidad en varo, como: varo primario, doble y triple. Se hace referencia a las indicaciones quirúrgicas y contraindicaciones para la ostectomía parcial del peroné y artroscopia. En relación a la combinación simultánea de ostectomía parcial del peroné y artroscopia se describen las ventajas y desventajas. Para culminar se hace referencia a las complicaciones más reportadas en la literatura.
Conclusiones: la artroscopia y ostectomía parcial del peroné combinada y simultánea es una técnica útil para pacientes que sufren de artrosis de la rodilla con deformidad angular en varo.

DeCS: ARTICULACIÓN DE LA RODILLA; OSTEOARTRITIS DE LA RODILLA; ARTROPLASTIA DE REEMPLAZO DE RODILLA; PERONÉ/cirugía; LITERATURA DE REVISIÓN COMO ASUNTO.

Palabras clave

AR- Articulación de la rodilla OR- Osteoartritis de rodilla DAV- Desviación angular en varo AU- Artroplastia unicompartimental ATR- Artroplastia total de rodilla OPP- Ostectomía parcial del peroné

Referencias

Vigorita VJ. Orthopaedic Pathology. 3rd ed. Philadelphia: Wolters Kluwer; 2016.

Kim KI, Kim DK, Song SJ, Lee SH, Bae DK. Medial open-wedge high tibial osteotomy may adversely affect the patellofemoral joint. Arthroscopy. 2017 Apr;33(4):811-6.

Bonnin M, Chambat P. Osteoarthritis of the knee. Paris: Springer-Verlag; 2008.

Moon YW, Kim JG, Han JH, Do KH, Seo JG, Lim HC. Factors correlated with the reducibility of varus deformity in knee osteoarthritis: an analysis using navigation guided TKA. Clin Orthop Surg. 2013 Mar;5(1):36-43.

Fujita-Rohwerder N, Rüther A, Sauerland S. Arthroscopic surgery for knee osteoarthritis: impact of health technology assessment in Germany. Int J Technol Assess Health Care. 2017 Oct:1-4.

Bert JM. Arthroscopic treatment of degenerative arthritis of the knee. En: Scott WN, editor. Insall & Scott Surgery of the Knee. 5th ed. Philadelphia: Elsevier; 2012. p. 229-34.

Wong KL, Lee KB, Tai BC, Law P, Lee EH, Hui JH. Injectable cultured bone marrow-derived mesenchymal stem cells in varus knees with cartilage defects undergoing high tibial osteotomy: a prospective, randomized controlled clinical trial with 2 years' follow-up. Arthroscopy. 2013 Dec;29(12):2020-8.

Bicer EK, Basa CD, Gunay H, Aydogdu S, Sur H. The fate of fibular osteotomies performed during high tibial osteotomy. Arch Orthop Trauma Surg. 2016 Aug;136(8):1085-90.

DeLee JC, Heckman JD, Lewis AG. Partial fibulectomy for ununited fractures of the tibia. J Bone Joint Surg Am. 1981 Dec;63(9):1390-5.

Wang X, Wei L, Lv Z, Zhao B, Duan Z, Wu W, et al. Proximal fibular osteotomy: a new surgery for pain relief and improvement of joint function in patients with knee osteoarthritis. J Int Med Res. 2017 Feb;45(1):282-9.

Bert TM, Bert JM. Arthroscopic approach to knee osteoarthritis. En: Sgaglione NA, Lubowitz JH, Provencher MT, editors. The Knee: AANA Advance Arthroscopic Surgical Techniques. Thorofare: Slack Incorporated; 2016. p. 189-96.

Bert JM. Arthroscopic treatment of degenerative arthritis of the knee. En: Johnson DH, editor. Operative Arthroscopy. 4th ed. Philadelphia: Wolters Kluwer; 2013. p. 746-53.

Trueba Vasavilbaso C, Rosas Bello CD, Medina López E, Coronel Granado MP, Navarrete Álvarez JM, Trueba Davalillo CA, et al. Benefits of different postoperative treatments in patients undergoing knee arthroscopic debridement. Open Access Rheumatol. 2017 Sep;9:171-9.

Noyes FR, Barber Westin SD. Primary, double, and triple varus knee síndromes: diagnosis, osteotomy techniques, and clinical outcomes. En: Noyes FR, editor. Knee Disorders. Philadelphia: Saunders; 2010. p. 822-80.

Duivenvoorden T, Brouwer RW, Baan A, Bos PK, Reijman M, Bierma-Zeinstra SM, et al. Comparison of closing-wedge and opening-wedge high tibial osteotomy for medial compartment osteoarthritis of the knee: a randomized controlled trial with a six-year follow-up. J Bone Joint Surg Am. 2014 Sep;96(17):1425-32.

Whelton C, Thomas A, Elson DW, Metcalfe A, Forrest S, Wilson C, et al. Combined effect of toe out gait and high tibial osteotomy on knee adduction moment in patients with varus knee deformity. Clin Biomech (Bristol, Avon). 2017 Mar;43:109-14.

Haviv B, Bronak S, Thein R, Kidron A, Thein R. Mid-term outcome of opening-wedge high tibial osteotomy for varus arthritic knees. Orthopedics. 2012 Feb;35(2):e192-6.

Gardiner A, Richmond JC. Periarticular osteotomies for degenerative joint disease of the knee. Sports Med Arthrosc. 2013 Mar;21(1):38-46.

Krackow KA, Mandeville DS, Rachala SR, Bayers-Thering M, Osternig LR. Torsion deformity and joint loading for medial knee osteoarthritis. Gait Posture. 2011 Apr;33(4):625-9.

Lustig S, Servien E, Demey G, Neyret P. Osteotomy for the arthritic knee: a european perspective. En: Scott WN, editor. Insall & Scott Surgery of the Knee. 5th ed. Philadelphia Elsevier; 2012. p. 926-43.

Turcot K, Armand S, Lübbeke A, Fritschy D, Hoffmeyer P, Suvà D. Does knee alignment influence gait in patients with severe knee osteoarthritis? Clin Biomech (Bristol, Avon). 2013 Jan;28(1):34-9.

Strecker W, Müller M, Urschel C. High tibial closed wedge valgus osteotomy. Oper Orthop Traumatol. 2014 Apr;26(2):196-205.

Leone JM, Hanssen AD. Osteotomy about the knee: American perspective. En: Scott WN, editor. Insall & Scott Surgery of the Knee. 5 th ed. Philadelphia Elsevier; 2012. p. 910-25.

Lobenhoffer P, Agneskirchner JD. Osteotomy around the knee vs unicondylar knee replacement. Orthopade. 2014 Oct;43(10):923-9.

Thienpont E, Schwab PE, Cornu O, Bellemans J, Victor J. Bone morphotypes of the varus and valgus knee. Arch Orthop Trauma Surg. 2017 Mar;137(3):393-400.

Bin SI, Jeong TW, Kim SJ, Lee DH. A new arthroscopic classification of degenerative medial meniscus root tear that correlates with meniscus extrusion on magnetic resonance imaging. Knee. 2016 Mar;23(2):246-50.

Kelly JD. Meniscal injuries. New York: Springer; 2014.

Cho W. Knee Joint Arthroplasty. New York: Springer. 2014.

Koh YG, Kwon OR, Kim YS, Choi YJ. Comparative outcomes of open-wedge high tibial osteotomy with platelet-rich plasma alone or in combination with mesenchymal stem cell treatment: a prospective study. Arthroscopy. 2014 Nov;30(11):1453-60.

Robinson PM, Papanna MC, Somanchi BV, Khan SA. High tibial osteotomy in medial compartment osteoarthritis and varus deformity using the Taylor spatial frame: early results. Strategies Trauma Limb Reconstr. 2011 Nov;6(3):137-45.

Lee YS, Kang JY, Lee MC, Oh WS, Elazab A, Song MK. Effect of the osteotomy length on the change of the posterior tibial slope with a simple distraction of the posterior gap in the uni-and biplanar open-wedge high tibial osteotomy. Arthroscopy. 2016 Feb;32(2):263-71.

Yoo MJ, Shin YE. Open Wedge High Tibial Osteotomy and combined arthroscopic surgery in severe medial osteoarthritis and varus malalignment: minimum 5-year results. Knee Surg Relat Res. 2016 Dec 1;28(4):270-6.

Tan KG, Sathappan SS, Teo YH, Low WC. Alignment analyses in the varus osteoarthritic knee using computer navigation. Am J Orthop (Belle Mead NJ). 2015 Jun;44(6):277-83.

Jingjit W, Poomcharoen P, Limmahakhun S, Klunklin K, Leerapun T, Rojanasthien S. Femoral mechanical-anatomical angle of osteoarthritic knees. J Med Assoc Thai. 2014 Dec;97(12):1314-8.

Beauflis P, Verdonk R. The Meniscus. New York: Springer; 2010.

Loia MC, Vanni S, Rosso F, Bonasia DE, Bruzzone M, Dettoni F, et al. High tibial osteotomy in varus knees: indications and limits. Joints. 2016 Aug 18;4(2):98-110.

Kyung HS, Lee BJ, Kim JW, Yoon SD. Biplanar open wedge high tibial osteotomy in the medial compartment osteoarthritis of the knee joint: comparison between the Aescula and TomoFix plate. Clin Orthop Surg. 2015 Jun;7(2):185-90.

Ramanoudjame M, Vandenbussche E, Baring T, Solignac N, Augereau B, Gregory T. Fibular nonunion after closed-wedge high tibial osteotomy. Orthop Traumatol Surg Res. 2012 Dec;98(8):863-7.

Osti M, Gohm A, Schlick B, Benedetto KP. Complication rate following high tibial open-wedge osteotomy with spacer plates for incipient osteoarthritis of the knee with varus malalignment. Knee Surg Sports Traumatol Arthrosc. 2015 Jul;23(7):1943-8.

Bae DK, Song SJ, Yoon KH, Heo DB, Kim TJ. Survival analysis of microfracture in the osteoarthritic knee-minimum 10-year follow-up. Arthroscopy. 2013 Feb;29(2):244-50.

Tabrizi A, Soleimanpour J, Sadighi A, Zare AJ. A short term follow up comparison of genu varum corrective surgery using open and closed wedge high tibial osteotomy. Malays Orthop J. 2013 Mar;7(1):7-12.

Cho SD, Youm YS, Kim JH, Cho HY, Kim KH. Patterns and influencing factors of medial meniscus tears in varus knee osteoarthritis. Knee Surg Relat Res. 2016 Jun;28(2):142-6.

Yazdi H, Mallakzadeh M, Mohtajeb M, Farshidfar SS, Bagherty A, Givehchian B. The effect of partial fibulectomy on contact pressure of the knee: a cadaveric study. Eur J Orthop Surg Traumatol. 2014 Oct;24(7):1285-9.

Yang ZY, Chen W, Li CX, Wang J, Shao DC, Hou ZY, et al. Medial compartment decompression by fibular osteotomy to treat medial compartment knee osteoarthritis: a pilot study. Orthopedics. 2015 Dec;38(12):e1110-4.

Bytyqi D, Shabani B, Lustig S, Cheze L, Karahoda Gjurgjeala N, Neyret P. Gait knee kinematic alterations in medial osteoarthritis: three dimensional assessment. Int Orthop. 2014 Jun;38(6):1191-8.

Zheng K, Scholes CJ, Chen J, Parker D, Li Q. Multiobjective optimization of cartilage stress for non-invasive, patient-specific recommendations of high tibial osteotomy correction angle–a novel method to investigate alignment correction. Med Eng Phys. 2017 Apr;42:26-34.

Schröter S, Ateschrang A, Löwe W, Nakayama H, Stöckle U, Ihle C. Early full weight-bearing versus 6-week partial weight-bearing after open wedge high tibial osteotomy leads to earlier improvement of the clinical results: a prospective, randomised evaluation. Knee Surg Sports Traumatol Arthrosc. 2017 Jan;25(1):325-32.

Enlaces refback

  • No hay ningún enlace refback.