Arthroscopic treatment, fibula osteotomy and platelet lysate in gonarthrosis and varus deformity

Authors

  • Lazaro Leuan Codero Betancourt Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba https://orcid.org/0000-0002-4727-6069
  • Guillermo Reyes-Chirino Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba https://orcid.org/0000-0002-1266-7254
  • Idania Martínez-Couce Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba
  • José Alberto Valdés-Camalleri Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba https://orcid.org/0000-0002-3344-8616
  • Roberto Carlos Blanco-Cabrera Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba https://orcid.org/0000-0002-0437-0506
  • Yasandy Cuellar-Viera Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba https://orcid.org/0000-0002-3203-7110

Keywords:

ARTHROSCOPY, GENU VARUM, FIBULA, KNEE JOINT, KNEE INJURIES.

Abstract

Introduction: the knee is the joint most affected by degenerative processes, which are sometimes associated with angular deformities, most frequently varus deformity, which makes their treatment more difficult. Knee osteoarthritis is a very disabling condition, characterized by pain, stiffness, instability and functional loss. It is a degenerative disease that has increased its prevalence in recent decades, closely linked to the aging of the population.

Objective: to evaluate the results with the combined application of arthroscopy, fibula osteotomy and platelet lysate in patients with gonarthrosis and varus deformity, in the orthopedic service at Abel Santamaria Cuadrado General Teaching Hospital, in the period April 2018 and December 2019.

Methods: a descriptive, longitudinal and prospective study was conducted at Abel Santamaria Cuadrado General Teaching Hospital between 2018 and 2019, in which the technique of Dr. Ying Ze Zhang, from the department of orthopedics, was combined with the technique of Dr. Ying Ze Zhang, from the department of orthopedics of the orthopedic surgery department belonging to the Third Hospital of Hebei Medical University in Shijiazhuang, China, with arthroscopy and the application of platelet lysate in patients who presented gonarthrosis and varus deformity of the knees. It was verified as a result in 17 patients treated after one (1) year of evolution.

Results: the average age was 64 years, being 8 women and 9 men. The visual analogical scale for pre and post-operative pain was applied; 15 patients were evaluated as good for 88,2 %, and 2 as fair for 11,7 %, and 1 complication occurred.

Conclusions: with the combined application of arthroscopy osteotomy of the fibula and platelet lysate in patients with gonarthrosis and varus deformity, good results are achieved, with improvement or disappearance of the pre-existing clinical symptoms and signs. 

 

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Author Biography

Lazaro Leuan Codero Betancourt, Universidad de Ciencias Médicas de Pinar del Río. Hospital General Docente Abel Santamaría Cuadrado. Pinar del Río, Cuba

Medico de la especialidad de ortopedia y traumatologia. intructor,

References

1. Pancorbo Sandoval EA, Ceballo Mesa A, Martin Tirado JC. Ostectomia del peroné, nueva técnica quirúrgica en el genus varo doloroso. Proceder y presentación de dos casos. Rev Méd Electrón [Internet]. 2017 Jul-Ago [citado 20/12/2021]; 39(4). Disponible en: http://scielo.sld.cu/pdf/rme/v39n4/rme110417.pdf

2. Fujita Rohwerder N, Ruther A, Sauerland S. Arthroscopic surgery for Knee osteoarthritis: impact of health technology assessment in Germany. Int J Technol Asses Health Care [Internet]. 2017 Jan [citado 20/12/2021]; 33(4): 420-423 Disponible en: https://pubmed.ncbi.nlm.nih.gov/29043949/

3. Laso JI, Rojas CA, Valenzuela AF, Álvarez S,

Gaggero NS. Corrección de genu valgo postraumático con

osteotomía de cierre en tibia proximal. Rev Chil Ortop Traumatol [Internet]. 2017 [citado 20/12/2021]; 58: 106–11. Disponible en: https://www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0037-1607461.pdf

4. Whelton C, Thomas A, Elson DW, Metcalfe A, Forrest S, Wilson C, et al. Combined effectof of toe out gait and high tibial osteotomy on knee adduction moment in patients with varus knee deformity. Clin Biomech (Bristol, Avon) [Internet]. 2017 Mar [citado 20/12/2021]; 43: 109-14. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0268003317300542

5. Zheng K, Scholes CJ, Chen J, Parker D Li Q. Multiobjective optimization of cartilage stress for non-invasive, patient-specific recommendations of high tibial osteotomy correction angle - novel method to investigate alignment correction. Med Eng Phys [Internet]. 2017 Apr [citado 20/12/2021]; 42: 26-34. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28209345/

6. Judge JO. Trastornos de la marcha en los ancianos. MANUAL MSD [Internet]. 2019 [citado 20/12/2021]. Disponible en: https://www.msdmanuals.com/es/professional/geriatr%C3%ADa/trastornos-de-la-marcha-en-los-ancianos/trastornos-de-la-marcha-en-los-ancianos

7. Migliore A, Gigliucci G, Alekseeva L, et al. Treat-to-target strategy for knee osteoarthritis. International technical expert panel consensus and good clinical practice statements. Therapeutic Advances in Musculoskeletal Disease [Internet]. 2019 [citado 20/12/2021]; 11: 1-15. Disponible en: https://journals.sagepub.com/doi/full/10.1177/1759720X19893800

8. Schrother S, Ateschrang A, Lowe W, Nakayama H, Stockel U, Ihel C. Early full weight-bearing versus 6-week partial weight-bearing after open wedge high tibial osteotomy leads to earlier improvement of the clinical results: a prospective, randomised evaluation. Knee Surg Sports Traumatol Arthrosc [Internet]. 2017 [citado 20/12/2021]; 25: 325-332. Disponible en: https://link.springer.com/article/10.1007/s00167-015-3592-x

9. Gaweda K, Tarczynska M. Is the High Tibial Osteotomy (HTO) Still a Valid Method for Treatment of Medial Unicompartmental Knee Osteoarthritis?. Journal of Investigative Surgery [Internet]. 2021 [citado 20/12/2021]; 34(6). Disponible en: https://www.tandfonline.com/doi/full/10.1080/08941939.2019.1677825

10. Costa Paz M, Zícaro JP, Molina Romoli A, Deré JJ, Yacuzzi C. Osteotomía Valguizante de tibia más reconstrucción del LCA ¿Cuál Es La Técnica Quirúrgica Más Adecuada?. Artrosc. [Internet]. 2017 [citado 20/12/2021]; 24(1): 22-7. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-868721

11. Pancorbo Sandoval EA, Ceballos Mesa A, Martín Tirado JC, Quesada Pérez J, Cruz Alard R, Martínez Delgado M. Osteotomía del peroné, nueva técnica quirúrgica en el genu varo doloroso. Proceder y presentación de dos casos. Rev Med Electrón [Internet]. 2017 Ago [citado 20/12/2021]; 39(4): 966-74. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242017000400011&lng=es

12. Pancorbo Sandoval E. Osteotomías alrededor de la rodilla. Revista Cubana de Ortopedia y Traumatologí¬a [Internet]. 2018 [citado 20/12/2021]; 32(1). Disponible en: http://www.revortopedia.sld.cu/index.php/revortopedia/article/view/147

13. Pancorbo Sandoval EA, Ceballos Mesa A, Hernández Valera D, Quesada Pérez JA, Delgado Quiñones A, Sánchez Villanueva F. Variación del espacio articular externo de la rodilla posterior a la ostectomía del peroné. Rev Méd Electrón [Internet]. 2018 Sep-Oct [citado: 20/12/2021];40(5). Disponible en:Disponible en: https://www.medigraphic.com/pdfs/revmedele/me-2018/me185h.pdf

14. Baldini T, Roberts J, Hao J, Hunt K, Dayton M, Hogan C. Medial Compartment Decompression by Proximal Fibular Osteotomy: A Biomechanical Cadaver Study. Orthopedics [Internet]. 2018 Jul-1 [citado 20/12/2021]; 41(4): e496-e501. Disponible en: https://pubmed.ncbi.nlm.nih.gov/29708573/

15. Ceballos Mesa A. Corrección de las deformidades angulares y asimetrías de los miembros. La Habana: Editorial Ciencias Médicas; 2014. p. 202-12.

16. Pancorbo Sandoval EA, Ceballos Mesa A, Martín Tirado JC. Osteotomía del peroné, nueva técnica quirúrgica en el genu varo doloroso. Proceder y presentación de dos casos. Rev Méd Electrón [Internet]. 2017 Jul-Ago [citado 20/12/2021]; 39(4). Disponible en: http://www.revmedicaelectronica.sld.cu/index.php/rme/article/view/2195/3568

17. Maccauro G. Innovations in orthopedic trauma. Injury [Internet]. 2020 Aug-01 [citado 20/12/2021]; 51 (Supl-3). Disponible en: https://www.injuryjournal.com/article/S0020-1383(20)30569-6/fulltext

Published

2022-04-26

How to Cite

1.
Codero Betancourt LL, Reyes-Chirino G, Martínez-Couce I, Valdés-Camalleri JA, Blanco-Cabrera RC, Cuellar-Viera Y. Arthroscopic treatment, fibula osteotomy and platelet lysate in gonarthrosis and varus deformity. Rev Ciencias Médicas [Internet]. 2022 Apr. 26 [cited 2025 Aug. 26];26(2):e5417. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/5417

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Section

ORIGINAL ARTICLES