Volume 6 | Issue 2 | July-December 2021 | Page 34-38 | Matthieu Ollivier, Christophe Jacquet, Grégoire Micicoi
DOI:10.13107/aja.2021.v06i02.032
Author: Matthieu Ollivier [1], Christophe Jacquet [2], Grégoire Micicoi [3]
[1] Institute of Movement and Locomotion Department of Orthopedics and Traumatology, St Marguerite Hospital, 270 Boulevard Sainte Marguerite, BP 29 13274 Marseille, France.
[2] Aix Marseille University, APHM, CNRS, ISM, Sainte-Marguerite Hospital, Institute for Locomotion, Department of Orthopaedics and Traumatology, Marseille, France.
[3] iULS-University Institute for Locomotion and Sports, Pasteur 2 Hospital, University Côte d’Azur, Nice, France
Address of Correspondence:
Dr. Matthieu Ollivier,
Institute of Movement and Locomotion Department of Orthopaedics and Traumatology, St Marguerite Hospital, 270 Boulevard Sainte Marguerite, BP 29 13274 Marseille, France.
E-mail: matthieu.ollivier@ap-hm.fr
Abstract
Knee osteotomy is a successful operation which allow restoration of function, the preoperative planning and the achievement of the target correction during the surgery constitute critical steps which may affect the clinical results. With conventional techniques, the target correction may be difficult to obtain with substantial under- or overcorrection, then the preoperative planning should not only take into account the global alignment but also the segmental deformities with the proximal tibial deformity, the distal femoral deformity and the intra-articular deformity requiring an individualised approach to obtain the intended correction. The recent introduction of patient-specific cutting guides (PSCGs) based on preoperative CT-scan templating now offers the possibility of providing an instrumentation specific to each patient allowing to control exactly the correction in the different planes. The recent expansion in the use of PSCGs within the surgical community allows us to explore all its fields of application, from the simplest cases to the most complex cases. The accuracy of these guides allows in practice a great reliability for which the clinical impact must be known. However, we must keep in mind that the surgeon makes the final decision on target correction and this, whatever the level of accuracy of the tool used which involves that errors can occur in the event of poor preoperative analysis. The advantages and disadvantages of PSCGs require special consideration to justify their use.
Keywords: Knee osteotomy, Patient-specific cutting guide, Accuracy, Individualised approach, Correction
References
1. Arnal-Burró J, Pérez-Mañanes R, Gallo-Del-Valle E, Igualada-Blazquez C, Cuervas-Mons M, Vaquero-Martín J (2017) Three dimensional-printed patient-specific cutting guides for femoral varization osteotomy: Do it yourself. Knee 24:1359–1368
2. Bae DK, Song SJ, Yoon KH (2009) Closed-wedge high tibial osteotomy using computer-assisted surgery compared to the conventional technique. J Bone Joint Surg Br 91:1164–1171
3. Bardot L-P, Micicoi G, Favreau H, Zeman P, Khakha R, Ehlinger M, Ollivier M (2021) Global varus malalignment increase from double-leg to single-leg stance due to intra-articular changes. Knee Surg Sports Traumatol Arthrosc
4. Bastard C, Mirouse G, Potage D, Silbert H, Roubineau F, Hernigou P, Flouzat-Lachaniette C-H (2017) Return to sports and quality of life after high tibial osteotomy in patients under 60 years of age. Orthop Traumatol Surg Res 103:1189–1191
5. Bonutti P, Dethmers D, Stiehl JB (2008) Case report : femoral shaft fracture resulting from femoral tracker placement in navigated TKA. Clin Orthop Relat Res 466:1499–1502
6. Brouwer RW, Bierma-Zeinstra SMA, van Raaij TM, Verhaar J a. N (2006) Osteotomy for medial compartment arthritis of the knee using a closing wedge or an opening wedge controlled by a Puddu plate. A one-year randomised, controlled study. J Bone Joint Surg Br 88:1454–1459
7. Chaouche S, Jacquet C, Fabre-Aubrespy M, Sharma A, Argenson J-N, Parratte S, Ollivier M (2019) Patient-specific cutting guides for open-wedge high tibial osteotomy: safety and accuracy analysis of a hundred patients continuous cohort. International Orthopaedics (SICOT) 43:2757–2765
8. Coon TM (2009) Integrating robotic technology into the operating room. Am J Orthop 38:7–9
9. Corona PS, Vicente M, Tetsworth K, Glatt V (2018) Preliminary results using patient-specific 3d printed models to improve preoperative planning for correction of post-traumatic tibial deformities with circular frames. Injury 49 Suppl 2:S51–S59
10. Ekhtiari S, Haldane CE, de Sa D, Simunovic N, Musahl V, Ayeni OR (2016) Return to Work and Sport Following High Tibial Osteotomy: A Systematic Review. J Bone Joint Surg Am 98:1568–1577
11. Han S-B, In Y, Oh KJ, Song KY, Yun ST, Jang K-M (2019) Complications Associated With Medial Opening-Wedge High Tibial Osteotomy Using a Locking Plate: A Multicenter Study. J Arthroplasty 34:439–445
12. Han S-B, Kim HJ, Lee D-H (2017) Effect of Computer Navigation on Accuracy and Reliability of Limb Alignment Correction following Open-Wedge High Tibial Osteotomy: A Meta-Analysis. BioMed Research International 2017:1–9
13. Hankemeier S, Hufner T, Wang G, Kendoff D, Zeichen J, Zheng G, Krettek C (2006) Navigated open-wedge high tibial osteotomy: advantages and disadvantages compared to the conventional technique in a cadaver study. Knee Surg Sports Traumatol Arthrosc 14:917–921
14. Hankemeier S, Hufner T, Wang G, Kendoff D, Zeichen J, Zheng G, Krettek C (2006) Navigated open-wedge high tibial osteotomy: advantages and disadvantages compared to the conventional technique in a cadaver study. Knee Surg Sports Traumatol Arthrosc 14:917–921
15. Iorio R, Pagnottelli M, Vadalà A, Giannetti S, Di Sette P, Papandrea P, Conteduca F, Ferretti A (2013) Open-wedge high tibial osteotomy: comparison between manual and computer-assisted techniques. Knee Surg Sports Traumatol Arthrosc 21:113–119
16. Jacquet C, Chan-Yu-Kin J, Sharma A, Argenson J-N, Parratte S, Ollivier M (2019) “More accurate correction using “patient-specific” cutting guides in opening wedge distal femur varization osteotomies. International Orthopaedics (SICOT) 43:2285–2291
17. Jacquet C, Sharma A, Fabre M, Ehlinger M, Argenson J-N, Parratte S, Ollivier M (2019) Patient-specific high-tibial osteotomy’s ‘cutting-guides’ decrease operating time and the number of fluoroscopic images taken after a Brief Learning Curve. Knee Surg Sports Traumatol Arthrosc
18. Kayani B, Konan S, Huq SS, Tahmassebi J, Haddad FS (2018) Robotic-arm assisted total knee arthroplasty has a learning curve of seven cases for integration into the surgical workflow but no learning curve effect for accuracy of implant positioning. Knee Surg Sports Traumatol Arthrosc
19. Marti CB, Gautier E, Wachtl SW, Jakob RP (2004) Accuracy of frontal and sagittal plane correction in open-wedge high tibial osteotomy. Arthroscopy 20:366–372
20. Munier M, Donnez M, Ollivier M, Flecher X, Chabrand P, Argenson J-N, Parratte S (2017) Can three-dimensional patient-specific cutting guides be used to achieve optimal correction for high tibial osteotomy? Pilot study. Orthop Traumatol Surg Res 103:245–250
21. Nelissen EM, van Langelaan EJ, Nelissen RGHH (2010) Stability of medial opening wedge high tibial osteotomy: a failure analysis. Int Orthop 34:217–223
22. Nerhus TK, Ekeland A, Solberg G, Sivertsen EA, Madsen JE, Heir S (2017) Radiological outcomes in a randomized trial comparing opening wedge and closing wedge techniques of high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 25:910–917
23. Pérez-Mañanes R, Burró JA, Manaute JR, Rodriguez FC, Martín JV (2016) 3D Surgical Printing Cutting Guides for Open-Wedge High Tibial Osteotomy: Do It Yourself. J Knee Surg 29:690–695
24. Saragaglia D, Blaysat M, Inman D, Mercier N (2011) Outcome of opening wedge high tibial osteotomy augmented with a Biosorb® wedge and fixed with a plate and screws in 124 patients with a mean of ten years follow-up. Int Orthop 35:1151–1156
25. Saragaglia D, Chedal-Bornu B (2014) Computer-assisted osteotomy for valgus knees: medium-term results of 29 cases. Orthop Traumatol Surg Res 100:527–530
26. Saragaglia D, Roberts J (2005) Navigated osteotomies around the knee in 170 patients with osteoarthritis secondary to genu varum. Orthopedics 28:s1269-1274
27. Schröter S, Ihle C, Elson DW, Döbele S, Stöckle U, Ateschrang A (2016) Surgical accuracy in high tibial osteotomy: coronal equivalence of computer navigation and gap measurement. Knee Surg Sports Traumatol Arthrosc 24:3410–3417
28. Schröter S, Ihle C, Elson DW, Döbele S, Stöckle U, Ateschrang A (2016) Surgical accuracy in high tibial osteotomy: coronal equivalence of computer navigation and gap measurement. Knee Surg Sports Traumatol Arthrosc 24:3410–3417
29. Seo S-S, Kim O-G, Seo J-H, Kim D-H, Kim Y-G, Lee I-S (2016) Complications and Short-Term Outcomes of Medial Opening Wedge High Tibial Osteotomy Using a Locking Plate for Medial Osteoarthritis of the Knee. Knee Surg Relat Res 28:289–296
30. Sodhi N, Khlopas A, Piuzzi NS, Sultan AA, Marchand RC, Malkani AL, Mont MA (2018) The Learning Curve Associated with Robotic Total Knee Arthroplasty. J Knee Surg 31:17–21
31. Van den Bempt M, Van Genechten W, Claes T, Claes S (2016) How accurately does high tibial osteotomy correct the mechanical axis of an arthritic varus knee? A systematic review. The Knee 23:925–935
32. Victor J, Premanathan A (2013) Virtual 3D planning and patient specific surgical guides for osteotomies around the knee: a feasibility and proof-of-concept study. Bone Joint J 95-B:153–158
| How to Cite this article: Ollivier M, Jacquet C, Micicoi G Patient Specific | Instrumentation in Knee Osteotomies | Asian Journal of Arthroscopy | July-December 2021; 6(2): 34-38. |
