ArticleInternational orthopaedics2020
Accuracy of three dimensional-planned patient-specific instrumentation in femoral and tibial rotational osteotomy for patellofemoral instability.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.
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Who cites it
31 citing papers in PubMed, 45 citations in OpenAlex.
- Assessment and management of torsional malalignment in paediatric patients with patellofemoral joint instability.Journal of children's orthopaedics · 2026Article
- Electromagnetic navigation for femoral osteotomy using high-accuracy X-ray-to-CT registration.International journal of computer assisted radiology and surgery · 2026Article
- Measurement inaccuracies in X-ray planning of deformity correction using a new hexapod calibration device: an experimental approach with CT-correlation.Archives of orthopaedic and trauma surgery · 2025Article
- Femorotibial rotation does not affect clinical outcomes after patellofemoral stabilizing surgery.Journal of experimental orthopaedics · 2025Article
- [Tibial derotation osteotomy for knee joint pathologies : Indications, surgical technique and overview of the current literature].Orthopadie (Heidelberg, Germany) · 2025Review
- Opening wedge high tibial osteotomy using patient-specific instruments and custom-made plates results in accurate correction and improved clinical outcome measures at 1-year follow-up.Journal of experimental orthopaedics · 2025Article
- Surgical management of miserable malalignment of the lower limb: a systematic review.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Review
- Consistency of 3D reconstruction measurements of lower limb torsion at different segments with the CT gold standard.Scientific reports · 2025Article
- Small changes of femoral torsion in varus or valgus distal femoral osteotomy using patient-specific instruments.International orthopaedics · 2025Article
- Complications after knee derotational osteotomies in patients with anterior knee pain and/or patellofemoral instability: a systematic review with meta-analysis.EFORT open reviews · 2025Article
- Accuracy of Combined High Tibial Slope Correction Osteotomy Using 3-Dimensional-Planned Patient-Specific Instrumentation.The American journal of sports medicine · 2024Article
- Optimizing Reduction Guide Stability in Osteotomy Using Patient-Specific Instrumentation: A Basic Guideline.Orthopaedic journal of sports medicine · 2024Article
- Navigation surgery in musculoskeletal disorders.BMC musculoskeletal disorders · 2024Article
- Derotational distal femoral osteotomy yields better outcomes in patellar subluxation with proximal femoral torsion compared with distal femoral torsion: A retrospective comparative study.Journal of orthopaedic surgery and research · 2024Article
- [Single-cut derotational osteotomy of the distal femur for correction of torsion and frontal axis].Operative Orthopadie und Traumatologie · 2024Review
- [Slope and frontal axis: three-dimensional analysis and correction with patient-specific cutting guides for the proximal tibia].Operative Orthopadie und Traumatologie · 2023Review
- [Osteotomies around the knee: preoperative planning using CT-based three-dimensional analysis, patient-specific cutting and reduction guides].Operative Orthopadie und Traumatologie · 2023Review
- Patient-Specific Instrumentation for Medial Closing Wedge Distal Femoral Osteotomy With Patellar Osteochondral Allograft.Arthroscopy techniques · 2023Article
- Three-dimensional-printed patient-specific instrumentation is an accurate tool to reproduce femoral bone tunnels in multiple-ligament knee injuries.International orthopaedics · 2023Article
- Increased femoral curvature and trochlea flexion in high-grade patellofemoral dysplastic knees.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePatellofemoral instability can be caused by tibial or femoral torsional deformity. Established surgical treatment options are rotational osteotomies, but the transfer from pre-operative planning to surgical execution can be challenging. Patient-specific instruments (PSI) are proofed to be helpful tools in realignment surgery. However, accuracy of PSI in femoral and tibial rotational osteotomies remains still unknown. Goal of the present study was to evaluate the accuracy of PSI in femoral and tibial rotational osteotomies in a patient population suffering from patellofemoral instability.
methodsAll patients that underwent femoral or tibial rotational osteotomy using PSI in case of patellofemoral instability from October 2015 until April 2019 in our clinic were included. Twelve knees with twelve supracondylar femoral and seven supratuberositary tibial rotational osteotomies could be included. Accuracy of the correction was assessed using pre- and post-operative CT scans based on conventional measurements and, in 3D, based on 3D bone models of the respective patients.
resultsCT measurements revealed an absolute difference between planned and achieved rotation of 4.8° ± 3.1° for femoral and 7.9° ± 3.7° for tibial rotational osteotomies without significant difference (p = 0.069). Regarding 3D assessment, a significant difference could be observed for the residual error between femoral and tibial rotational osteotomies in the 3D angle (p = 0.014) with a higher accuracy for the femoral side.
conclusionThe application of PSI for femoral and tibial rotational osteotomy is a safe surgical treatment option. Accuracy for femoral rotational osteotomies is higher compared with tibial rotational osteotomies using PSI.
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