Publications by authors named "R Khakha"
Background: Tibial condylar valgus osteotomy (TCVO), or Chiba osteotomy, is a recognized procedure for treating advanced knee osteoarthritis in middle-aged individuals. Although its effectiveness is established, limited literature exists on its outcomes for specific conditions such as post-traumatic deformities, Blount disease (BD), and Pagoda-like proximal tibia varus deformities.
Hypothesis: We hypothesized that TCVO could improve both clinical and radiographic outcomes in patients with severe varus deformities, correcting lower-limb variances while preserving joint line obliquity (JLO) and patellar height in substantial varus deformities.
Background: Anterior closing wedge osteotomy (ACWO) for tibial slope correction is a validated procedure in revision anterior cruciate ligament reconstruction (ACLR). This study aims to determine how different starting points of the osteotomy affect the amount of bone resection in ACWO.
Hypothesis: We hypothesized that the lower osteotomy starting points in ACWO imply larger bone resection.
Chiba osteotomy is an effective technique for advanced knee osteoarthritis (KOA). The principle of the osteotomy is to correct both varus deformity and intra-articular joint congruity through an L-shaped osteotomy from the medial tibial condyle to the lateral intercondylar eminence. Previous studies have demonstrated that Chiba osteotomy is an effective method for alignment correction surgery for severe knee osteoarthritis.
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- Patient-specific cutting guides (PSI) were analyzed for their effectiveness in improving the accuracy of double-level osteotomies (DLO) around the knee compared to traditional techniques.
- The study included 53 patients and focused on evaluating postoperative coronal alignment and functional outcomes after DLO procedures, using various angles to measure accuracy.
- Results indicated no significant differences in global alignment between the PSI and conventional groups, but the PSI group demonstrated statistically lower values for both the medial proximal tibial angle (MPTA) and lateral distal femoral angle (LDFA).
Purpose: The purpose of the European consensus was to provide recommendations for the treatment of patients with a painful degenerative varus knee using a joint preservation approach. Part II focused on surgery, rehabilitation and complications after tibial or femoral correction osteotomy.
Methods: Ninety-four orthopaedic surgeons from 24 countries across Europe were involved in the consensus, which focused on osteotomies around the knee.