Influence of the sagittal inclination of the tibial plateau on the knee joint stability
DOI:
https://doi.org/10.15674/0030-59872012424-29Keywords:
knee joint, anterior crucial ligament, posteriol crucial ligament, instability, osteotomyAbstract
The effect produced by a change in the anteroposterior inclination of the tibial plateau on the knee joint stability and a displacement of the contact loading area on the inner tibial process was experimentally analysed. Two cadaver preparations of the knee joint served as the material. A change of the tibial plateau inclination in conditions of corrective osteotomy has steady influence on the knee joint kinematics. In case of an injury of the anterior crucial ligament against a background of medial gonarthrosis it is possible to use closed wedge osteotomy in combination with a decreased retrad inclination of the tibial plateau, thereby compensating to some extent for anterior instability of the knee joint. An increased retrad inclination of the tibial plateau results in an anteriad displacement of the tibia and can be used to compensate for posterior instability.References
- Корегуючі остеотомії у лікуванні остеоартрозу колінних суглобів / Г. В. Гайко, Л. П. Кукуруза, В. П. Торчинський та ін. // Вісник ортопедії, травматології та протезування. — 2003. — № 3. — С. 5–7.
- Пустовойт Б. А. Хірургічна профілактика диспластичного гонартрозу: автореф. дис. … на здобуття наук. ступеня докт. мед. наук / Б. А. Пустовойт. — Харків: ХНДІОТ, 1996. — 43 с.
- Coventry М. В. Proximal tibial osteotomy. А critical long-term study of eighty-seven cases / М. В. Coventry, D. М. Ilstrup, S. L. Wallrichs // The Journal of Bone & Joint Surgery. — 1993. — Vol. 75. — P. 196–201.
- Lobenhoffer P. Die offnende valgisierende Osteotomie der proximalen Tibia mit Fixation durch einen medialen Plattenfixateur / P. Lobenhoffer, J. D. Agneskirchner, W. Zoch // Orthopаеde. — 2004. — Vol. 33. — P. 153–160.
- The effect of plate position and size on tibial slope in high tibial osteotomy: a cadaveric study / J. L. Rubino, R. J. Schoderbek, S. R. Golish et al. // J. Knee Surgery. — 2008. — Vol. 21, № 1. — P. 75–79.
- Stabiliat, Knochenheilung und Korrekturverlust nach valgisierender Tibiakopfumstellung. Eine Rontgensteriometrieanalyse /
- D. Pape, F. Adam, S. Rupp et al. // Огthopade. — 2004. — Vol. 33. — P. 208–217.
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Copyright (c) 2014 Maksim Golovakha, Vasyl Krasovsky, Oleksandr Gorelov, Rostyslav Titarchuk
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