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The Journal of Bone and Joint Surgery (American). 2004;86:2571
© 2004 The Journal of Bone and Joint Surgery, Inc.

Letter to the Editor

Total Knee Arthroplasty Following Proximal Tibial Osteotomy

S. Robert Rozbruch, MD1

1 The Hospital for Special Surgery
535 East 70th Street
New York, NY 10021
rozbruchsr@hss.edu

The first 20% of the full text of this article appears below.

To The Editor:

I read with interest "Total Knee Arthroplasty Following Proximal Tibial Osteotomy: Risk Factors for Failure" (2004;86:474-9) by Parvizi et al. The authors reviewed the results of 166 cemented condylar knee replacements done in 118 patients who had previously had a proximal tibial osteotomy. These knee replacements had relatively inferior results, and the authors identified risk factors for early failure.

The problems cited by the authors were malalignment, patella baja, instability, periarticular scarring, proximal tibial bone deficiency, and retained hardware. The great detail about the knee arthroplasty, the long follow-up, and the meticulous study design are all severely compromised by the absence of any detail regarding the technique of osteotomy. Were these opening or closing . . . [Full Text of this Article]

Javad Parvizi, MD, Arlen D. Hanssen, MD and Mark J. Spangehl, MD

Corresponding author:
Mark J. Spangehl, MD
Mayo Clinic
13400 East Shea Boulevard
Scottsdale, AZ 85259


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Related articles in JBJS:

Total Knee Arthroplasty Following Proximal Tibial Osteotomy: Risk Factors for Failure
Javad Parvizi, Arlen D. Hanssen, and Mark J. Spangehl
JBJS 2004 86: 474-479. [Abstract] [Full Text]