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ABSTRACT: Tibial tubercle osteotomy (TTO) is a recognized technique for improving exposure when performing total knee arthroplasty surgery. Forty-two patients were reviewed at a mean of 8 years after TTO. Preoperatively, mean extension was 8 degrees +/- 14 degrees , mean flexion 74 degrees +/- 30 degrees , and Knee Society score 73 +/- 37. At latest follow-up, mean extension was 4 degrees +/- 15 degrees , mean flexion 91 degrees +/- 22 degrees , and Knee Society score 124 +/- 42.6 (P < or = .0001). Seventy-three percent of patients had an excellent/good score at latest follow-up. Twenty-five percent of patients experienced no extensor lag, and 66% of extensor lags had resolved within 6 months. Mean time for osteotomy union was 14 weeks. In this series, TTO performed to enhance surgical exposure did not adversely affect the outcome after total knee arthroplasty but resulted in serious complications in 5% of patients.
The Journal of Arthroplasty 04/2008; 23(3):371-5. · 2.38 Impact Factor
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British journal of hospital medicine (London, England: 2005) 02/2007; 68(1):M13-4. · 0.19 Impact Factor
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ABSTRACT: Total hip arthroplasty is one of the most successful procedures introduced in the twentieth century. Hip surgery performed
through a small incision has been widely promoted [1]. Although minimally invasive surgery (MIS) total hip replacement has been greeted with enthusiasm by those wishing to embrace
the technique; others have voiced concern or even scepticism. Those extolling the virtue of the minimally invasive approach
tout the potential benefits, such as reduced soft tissue trauma, reduced postoperative pain, and quicker rehabilitation. Sceptics
of minimally invasive hip arthroplasty are concerned by increased operative difficulty, reduced visualization of the operative
landmarks, the increased risk of complications, and the obvious downside of a learning curve associated with the introduction
of new techniques. The question remains “Are minimally invasive hip arthroplasties safe and as efficacious as conventional
hip replacements?” To date, there has been widespread marketing both to surgeons and to the public about the proposed merits
of MIS techniques, but few objective data have been published on this topic. This chapter reviews the technique and published
literature to delineate the advantages and pitfalls of performing minimally invasive total hip arthroplasty surgery.
12/2006: pages 183-193;
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British journal of hospital medicine (London, England: 2005) 07/2006; 67(6):M116-8. · 0.19 Impact Factor
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British journal of hospital medicine (London, England: 2005) 06/2006; 67(5):M96-8. · 0.19 Impact Factor
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British journal of hospital medicine (London, England: 2005) 05/2006; 67(4):M74-5. · 0.19 Impact Factor
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Claire F Young
British journal of hospital medicine (London, England: 2005) 12/2005; 66(11):M74-5. · 0.19 Impact Factor
