Arthroscopic decompressive medial release of the varus arthritic knee: Expanding the functional envelope.

摘要: We present the rationale and technique for treating medial knee osteoarthritis by dynamically unloading compartment of knee. Recent advances in kinematic studies indicate a dynamic linkage between differing degrees freedom joint. Both adduction moment foot progression angle are important determinants loading. The medially osteoarthritic has progressive compromise free motion more than 1 plane. Arthroscopic decompressive release unloads capsule collateral ligament presence intact cruciate ligaments, which may allow decreased decrease external rotation restraint extension found severely knees. A case series 38 patients with gonarthrosis was treated this at Hermanos Ameijeiras Hospital Havana, Cuba. All had good results without postoperative valgus instability or significant complications. feel that warrants further clinical biomechanical study its use isolation combination high tibial osteotomy minimally invasive selective treatment invasive, approach to factors be combined other modulating techniques efforts forestall prevent need total joint replacement.