Influence of Anatomical Variation on Correction Angle of 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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High Tibial Valgus Osteotomy and Functional Outcome

Background: This is a case series of 76 knees of 62 patients who underwent upper tibial valgus osteotomy for treatment of medial compartment osteoarthritis during a 20-year period and who were followed for a mean of 7.6 years. Methods: The patients were evaluated by validated outcome assessment systems of general health status short form (SF-36), the Western Ontario McMaster osteoarthritis inde...

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Re-correction osteotomy with osteophyte graft for correction loss with non-union after high tibial osteotomy

A 68-year-old man with right knee varus osteoarthritis was treated by lateral closed-wedge high tibial osteotomy. A correction loss with non-union occurred 6 months after surgery and a re-correction osteotomy was performed. Removing the proximal screws of the lateral plate, a medial opening-wedge re-osteotomy was performed. Arthroscopically harvested osteophytes were used to fill the gap after ...

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Standing radiographs cannot determine the correction in high tibial osteotomy.

The use of standing radiographs to determine correction angles for high tibial osteotomy is not appropriate because the relative angle of the articular surfaces (condylar-plateau angle) in the weight-bearing knee changes after the osteotomy. This may give unpredictable results postoperatively. We found that the condylar-plateau angle in postoperative standing films is very similar to that seen ...

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ژورنال

عنوان ژورنال: Orthopedics & Traumatology

سال: 1999

ISSN: 1349-4333,0037-1033

DOI: 10.5035/nishiseisai.48.369