[Tibial derotation osteotomy for knee joint pathologies : Indications, surgical technique and overview of the current literature].

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Orthopadie (Heidelberg, Germany) Pub Date : 2025-10-01 Epub Date: 2025-07-14 DOI:10.1007/s00132-025-04675-y

Michael Liebensteiner, Clelia Appel-Ersek, Gerhard Kaufmann, Markus Neubauer, Johannes Neugebauer, Dietmar Dammerer

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Abstract

Pathological torsions of the femur and tibia are common. The negative effects on the knee are evident and do not only affect the patellofemoral joint. The suspected diagnosis of maltorsion is generated by physical examination and verified by tomographic imaging (MRI or CT). The literature review regarding tibial derotation osteotomies conducted by the authors yielded 35 studies (1562 osteotomies). Almost all of the studies reported a significant improvement compared to preoperatively based on patient-reported outcomes (Kujala, SF-36, Lysholm, KOOS, VAS and general patient wellbeing). Due to the lack of comparative studies, the best surgical technique for tibial derotation osteotomy is still undetermined. For complex cases in which deformities in several body planes are to be corrected (e.g., maltorsion and valgus varus deformity), three-dimensional planning and implementation using patient-specific incision blocks seems promising.

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[胫骨旋转截骨术治疗膝关节病变：指征、手术技术和当前文献综述]。

病理性股骨和胫骨扭转是常见的。对膝关节的负面影响是明显的，而且不仅影响到髌股关节。疑似畸形的诊断是由体格检查产生的，并由断层成像（MRI或CT）证实。作者对胫骨旋转截骨术的文献进行了综述，共获得35项研究（1562例截骨术）。根据患者报告的结果（Kujala, SF-36, Lysholm, kos， VAS和一般患者幸福感），几乎所有研究都报告了与术前相比的显着改善。由于缺乏比较研究，胫骨旋转截骨的最佳手术技术仍未确定。对于需要矫正多个身体平面畸形的复杂病例（例如，扭曲和外翻畸形），使用针对患者的切口块进行三维规划和实施似乎很有希望。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Orthopadie (Heidelberg, Germany)

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