The Triple Varus Knee: A Case Presentation.

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Abstract

Conflict of interest statement: One or more of the authors has declared the following potential conflict of interest or source of funding: J.J.G. has received support for education from Arthrex, Mid-Atlantic Surgical Systems, Smith & Nephew, and Great Lakes Orthopedics; a grant from Arthrex; and hospitality payments from Stryker. V.M. has received educational grants from Smith & Nephew, Arthrex, and DePuy/Synthes; consulting and speaking fees from Smith & Nephew; speaking fees from Synthes GmbH; is a board member of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS); and is deputy editor-in-chief of Knee Surgery, Sports Traumatology, Arthroscopy (KSSTA). AOSSM checks author disclosures against the Open Payments Database (OPD). AOSSM has not conducted an independent investigation on the OPD and disclaims any liability or responsibility relating thereto. 15. Ann Jt. 2022 Oct 15;7:37. doi: 10.21037/aoj-22-19. eCollection 2022. Tibial condylar valgus osteotomy for the treatment of intra-articular varus deformity of the knee. Capella M(1), Risitano S(1), Sabatini L(1), Faccenda C(1), Barberis L(1), Camazzola D(1), Bosco F(1), Giustra F(1), Massè A(1). Author information: (1)Department of Orthopaedics, Traumatology and Rehabilitation, C.T.O. Hospital, AOU Città della Salute e della Scienza, University of Turin, Turin, Italy. The increasing incidence and distribution of primary and post-traumatic knee osteoarthritis (OA) in the young, active population has renewed interest in joint-preserving procedures. High tibial osteotomy (HTO) represents the most common treatment for medial knee OA associated with varus tibial deformity. However, deformities may also be related to intra-articular defects that an extra-articular procedure could not correct. The tibial condylar valgus osteotomy (TCVO) represents an intra-articular surgical technique for treating advanced medial knee OA with lateral joint subluxation. Currently, only a few papers with small samples and limited follow-up report the use of TCVO for the treatment of intra-articular deformities. Indications and operative techniques are various and not standardized. After an extensive search of PubMed, Scopus and Cochrane library, the main purpose of this paper is to summarize and discuss the indications, surgical techniques, and outcomes of intra-articular osteotomies while also reporting the preoperative planning and surgical procedure performed at our institution. These characteristics allow earlier weight-bearing and faster complete recovery. TCVO is an effective procedure to correct lower limbs' intra-articular defects from degenerative conditions developmental and post-traumatic deformities. This surgical technique, working at the intra-articular level, leads to some benefits related to restoring joint congruence and stability by realigning the axis of the lower limb and reducing the lateral joint subluxation. Moreover, the improved valgisation and lateralization of the mechanical axis and the limitation of the osteotomy to the medial condyle led to a better load distribution to the not osteotomy-involved compartment. 2022 Annals of Joint. All rights reserved. DOI: 10.21037/aoj-22-19 PMCID: PMC10929301