Observations on patellar height after proximal tibial osteotomy.
- 1 February 1989
- journal article
- research article
- Published by Wolters Kluwer Health in The Journal of Bone & Joint Surgery
- Vol. 71 (2), 245-248
- https://doi.org/10.2106/00004623-198971020-00011
Abstract
Sixty-six knees (sixty patients) that had had a proximal tibial osteotomy were evaluated to determine if any alteration of the patellar height had occurred as a result of the operation. Eighty-nine per cent of the patellae, as measured by the Insall-Salvati index, and 76.3 per cent, as measured by the Blackburne-Peel index, were observed to be lowered as they appeared on the postoperative lateral radiograph. This was probably due to shortening of the patellar ligament after prolonged immobilization in a cast, interstitial scarring of the patellar ligament, and new-bone formation in the area of insertion of the patellar ligament. There was no correlation between the postoperative height of the patella and the need for subsequent revision to a total knee replacement.This publication has 4 references indexed in Scilit:
- Technical considerations of total knee arthroplasty after proximal tibial osteotomy.The Journal of Bone & Joint Surgery, 1988
- Results of total knee arthroplasty after failed proximal tibial osteotomy for osteoarthritis.The Journal of Bone & Joint Surgery, 1987
- Condylar total knee arthroplasty after failed proximal tibial osteotomy.The Journal of Bone & Joint Surgery, 1987
- High tibial osteotomy for varus gonarthrosis. A long-term follow-up study.The Journal of Bone & Joint Surgery, 1984