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1,036 results on '"Rozbruch, S. Robert"'

31. Open Wedge Distal Femoral Osteotomy: Accuracy of Correction and Patient Outcomes

Author

Elattar, Osama, Swarup, Ishaan, Lam, Aaron, Nguyen, Joseph, Fragomen, Austin, and Rozbruch, S Robert

Subjects
Biomedical and Clinical Sciences, Clinical Sciences, Clinical Research, Good Health and Well Being, distal femoral osteotomy, genu valgum, lateral opening wedge, lateral patella subluxation, lateral patellar retinacular release, Public Health and Health Services, Orthopedics, Clinical sciences
Abstract

BackgroundThere is a renewed interest in joint preservation surgery, and lateral opening wedge distal femoral osteotomy (DFO), a joint-preserving procedure, has been used to treat symptomatic genu valgum when the deformity originates in the distal femur.Questions/purposesThis study aimed to measure the accuracy of lateral opening wedge DFO in achieving deformity correction using radiographic parameters. In addition, the ability of lateral opening wedge DFO to improve patient outcomes as measured by Short Form Health Survey (SF-36) scores and American Academy of Orthopedic Surgeons (AAOS) lower limb module (LLM) scores leading to successful joint preservation was assessed.MethodsThe clinical charts and radiographs of 28 consecutive patients that underwent 41 DFOs (15 unilateral and 13 staged bilateral) using a locking plate construct were retrospectively reviewed. The mean age of patients undergoing DFO was 44 years (range 22-72), and 22 of the patients were female. The mean follow-up was 26 months (range 12-57 months). Preoperative and postoperative radiographs were evaluated for mechanical axis deviation (MAD), lateral distal femoral angle (LDFA), and the patella congruence angle (PCA). These measurements were compared to determine the accuracy of deformity correction. Clinical outcomes were assessed with preoperative and postoperative SF-36 and AAOS LLM, as well as Oxford knee scores at follow-up.ResultsThe accuracy of deformity correction was 95%. The MAD significantly improved from 25.3 mm lateral to the midline to 8 mm medial to the midline (p

Published
2017

43. Management of Extra-articular Deformity

Author

Scuderi, Giles R., Haas, Steven B., Berliner, Jonathan L., Assayag, Michael J., Rozbruch, S. Robert, Khlopas, Anton, Connors, Grayson P., Gwam, Chukwuweike U., Mistry, Jaydev B., Delanois, Ronald E., Mont, Michael A., Parcells, Bertrand W., Bateman, Dexter K., Preston, Jared S., Tria, Alfred J., Tria, Alfred J., editor, Scuderi, Giles R., editor, and Cushner, Fred D., editor

Published
2018
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45. Distal Femoral Osteotomy for the Management of Coronal Deformity Following Total Knee Arthroplasty: A Report of 2 Cases.

Author

Reif, Taylor J., Greenstein, Michael D., Greenberg, Michael, and Rozbruch, S. Robert

Subjects
TOTAL knee replacement, PERIPROSTHETIC fractures, OSTEOTOMY, HUMAN abnormalities
Abstract

Case: We present 2 cases demonstrating the management of coronal malalignment with an existing total knee arthroplasty using opening wedge distal femur osteotomy. The mechanical axis was corrected, and the primary total knee implants were maintained. Patients resumed full activity 3 to 4 months after surgery. Conclusion: In certain cases, opening wedge distal femoral osteotomy is an option to correct coronal malalignment with an existing total knee arthroplasty without revising the implant. [ABSTRACT FROM AUTHOR]

Published
2024
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