Effect of Wedge Insertion Angle on Posterior Tibial Slope in Medial Opening Wedge High Tibial Osteotomy

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Effect of Wedge Insertion Angle on Posterior Tibial Slope in Medial Opening Wedge High Tibial Osteotomy

BACKGROUND Medial opening wedge high tibial osteotomy (HTO) is a well-established surgery for medial compartment knee osteoarthritis (OA) wherein the lower extremity is realigned to shift the load distribution from the medial compartment of the knee to the lateral compartment. However, this surgery is known to affect the posterior tibial slope angle (PTSA), which could lead to abnormal knee kin...

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Posterior tibial slope in medial opening-wedge high tibial osteotomy: 2-D versus 3-D navigation.

Although opening-wedge high tibial osteotomy (HTO) is used to correct deformities, it can simultaneously alter tibial slope in the sagittal plane because of the triangular configuration of the proximal tibia, and this undesired change in tibial slope can influence knee kinematics, stability, and joint contact pressure. Therefore, medial opening-wedge HTO is a technically demanding procedure des...

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Medial Opening Wedge High Tibial Osteotomy

This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...

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Anterior opening wedge high tibial osteotomy: the effect of increasing posterior tibial slope on ligament strain.

BACKGROUND Although a previous study showed that anterior opening wedge high tibial osteotomy (HTO) for sagittal plane correction induced no increased strain in the anterior cruciate ligament (ACL), we hypothesized that other ligamentous restraints of the knee may be subjected to increased strain. METHODS We mounted 6 cadaveric knees at 15 degrees flexion in a testing apparatus that provided ...

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Tibial slope after Medial Opening-Wedge High Tibial Osteotomy: Is plate positioning the biggest issue?

Objetive: One major cause of Medial Opening-Wedge High Tibial Osteotomy (MOW-HTO) failure is inadvertent Posterior Tibial Slope (PTS) increase. To avoid this complication, posterior placement of the wedge plate is traditionally recommended. However, in the attempt of achieving such positioning, surgeon may encounter some undesired consequences, like medial collateral ligament disruption, instab...

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ژورنال

عنوان ژورنال: Orthopaedic Journal of Sports Medicine

سال: 2016

ISSN: 2325-9671,2325-9671

DOI: 10.1177/2325967116630748