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Query: UMLS:C0030552 (paresis)
 5,831 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A high plane femoral head osteotomy technique after Coventry, modified by Blauth, is described; during the last 10 years it has been used in over 200 cases at Kiel University Orthopedic Clinic. In the present paper the mid-term findings in follow-ups of 100 osteotomies in 86 patients are analyzed. Of these interventions, 83% resulted in a significant reduction in complaints at rest and on loadbearing, a considerable improvement in walking ability, and clinically a strengthening of the ligamentous apparatus as well as a reduction in irritation. The 17% poor results were mainly patients with advanced panarthroses, knee-bending contractures and increased loosening of the ligaments. In almost all of these cases, the axial error was insufficiently corrected, while the good results were usually associated with over-correction. In cases of varus gonarthrosis we therefore aim for 5 degrees overcorrection. With the exception of a motoric paresis of the peroneal nerve and a deep infection which healed without sequelae, there were no serious complications. This method can thus be recommended as a reliable procedure.
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PMID:[Treatment of varus gonarthrosis using Coventry's modified technic]. 672 42

Young patients with gonarthrosis that does not respond adequately to conservative therapy can be treated by corrective osteotomy. Osteoarthritis of one compartment more often has a mechanical aetiology than osteoarthritis of the entire knee. Patients with osteoarthritis of the medial compartment often have a genu varum (bow-legs) while patients with osteoarthritis of the lateral compartment often have a genu valgum (knock-knees). The goal of corrective osteotomy is to transfer the load bearing to the normal compartment, which will reduce the symptoms and permit arthroplasty to be postponed. In retrospective studies, the procedure resulted in less pain, improved knee function or postponement of knee arthroplasty in 28-87% of the patients. Possible complications include pseudarthrosis, thromboembolism, contracture of the patellar tendon, paresis of the N. peroneus, compartment syndrome. The outcome of osteotomy for gonarthrosis depends on careful patient selection, the stage of osteoarthritis, and the achievement and maintenance of the correction of the load axis that was calculated before the operation.
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PMID:[Osteotomy at knee level for young patients with gonarthrosis]. 1563 82