S. Hofmann S. Hofmann Head Knee Training Centre Head Knee Training Centre General & Orthopaedic Hospital General & Orthopaedic Hospital Stolzalpe – AUSTRIA Stolzalpe – AUSTRIA • Vienna Vienna • Stolzalpe Stolzalpe UNI vs Osteotomy UNI vs Osteotomy Is there a Is there a competion ? competion ?
22
Embed
S. Hofmann Head Knee Training Centre General Orthopaedic Hospital Stolzalpe AUSTRIA Vienna Vienna Stolzalpe UNI vs Osteotomy Is there a competion ?
Indications for osteotomies & Unis Anteromedial arthrosis (AMA) Lateral arthrosis with ACL ACL insufficiency & single compartment arthrosis ? Patient related factors individual indications ACL, osteotomy & mosaic plasty Varus 8°, ACL & cartilage defect ACL & MIS Uni
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
S. HofmannS. HofmannHead Knee Training CentreHead Knee Training CentreGeneral & Orthopaedic HospitalGeneral & Orthopaedic HospitalStolzalpe – AUSTRIAStolzalpe – AUSTRIA
• ViennaVienna•
StolzalpeStolzalpe
UNI vs OsteotomyUNI vs OsteotomyIs there a competion ?Is there a competion ?
Indications for osteotomies & Unis• Anteromedial arthrosis (AMA)• Lateral arthrosis with ACL• ACL insufficiency &
single compartment arthrosis ?• Patient related factors
individual indications
ACL, osteotomy & mosaic plasty
Varus 8°, ACL & cartilage defect
ACL & MIS Uni
Basic principles osteotomies• More than 30 years• Overcorrection of deformity• Offloading one compartment• Pain reduction• Gain time before TKA • 80 % Varus deformity
Coventry, JBJS 1987
Basic principles Unis
Kennedy CORR 1987
0 1 5C2 3 4
• More than 20 years• Partial correction deformity • Resurfacing one compartment• Free of pain • Timewinning or defintive solution ? • > 90 % Varus deformities
Comparison patella osteotomy
Müller EFORT 2000
• Cartilgage damage not main symptom• Biomechanics & clinics • Advantage