Table 1.
Studies involving tibial plateau malunions, sorted by lateral, posterolateral, medial, or bicondylar involvement.
| Study | Patients (#) | Surgical Treatment | Outcomes | |
|---|---|---|---|---|
| Lateral | Marti et al. | 21 | Oblique osteotomy w/open-wedge osteotomy for lower-limb alignment correction | Increased range of motion (mean 12°); correction of tibial plateau depression |
| Kerkhoffs et al. | 23 | Combined intra-articular and varus opening-wedge osteotomy | Varus deformities and depression were corrected | |
| Mastrokalos et al. | 1 | Reconstruction w/open-book osteotomy | Pain-free; angular deformity corrected; restoration of normal joint congruency, and alignment of axis of knee; function was at preinjury level at latest follow up | |
| Kfuri and Schatzker | 1 | Intra-articular osteotomy | Pain resolved, range of motion restored, alignment restored | |
| Furnstahl et al. | 1 | Computer-assisted corrective osteotomy w/patient-specific guides | Pain improved in all patients | |
| Van Nielen DL et al. | 1 | Revision surgery of tibial plateau involving intra/extra articular osteotomy (1); anterolateral osteotomy (1) | Pain was alleviated, and full range of motion was achieved | |
| Furnstahl et al. | 1 | Computer-assisted corrective osteotomy w/patient-specific guides | Pain improved in all patients | |
| Yang Di et al. | 7 | 3D-printing-assisted corrective osteotomy | Statistically significant improvements in anatomy and function achieved | |
| Medial | Pagkalos et al. | 1 | Opening-wedge, hemi-tibial plateau intra-articular corrective osteotomy | Symmetrical bony anatomy achieved |
| Furnstahl et al. | 1 | Computer-assisted corrective osteotomy w/patient-specific guides | Pain improved in all patients | |
| Saengnipanthkul | 1 | Unicondyle high-tibial osteotomy | Restored medial tibial plateau and medial posterior slope | |
| Kfuri and Schatzker | 1 | Medial wedge-opening osteotomy | Bone healing, full range of motion, and return to normal activity | |
| Hosokawa et al. | 1 | Corrective osteotomy | Pain resolved; ROM preserved | |
| Posteromedial | Kfuri and Schatzker | 1 | Corrective osteotomy | ROM restored, return to work activities |
| Bicondylar | Wu CC | 14 | Transverse subtubercle osteotomy with lateral open-wedge medial blade plate | Varus deformities were corrected |
| Van Nielen DL et al. | 1 | Revision surgery of tibial plateau involving intra/extra articular osteotomy (1); anterolateral osteotomy (1) | Pain was alleviated, and full range of motion was achieved | |
| Plateau Widening | Kfuri and Schatzker | 1 | Intra-articular closing-wedge osteotomy | Normal alignment, full ROM achieved, pain-free |