Tag Archive for: Correction

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


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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.


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