Is it possible to avoid posterior tibial slope increase in open-wedge high tibial osteotomy?
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منابع مشابه
The effect of high tibial osteotomy on the posterior tibial slope.
INTRODUCTION High tibial osteotomy remains a useful procedure for delaying total knee arthroplasty for young patients with unicompartimental medial osteoarthritis of the knee. The tibial posterior slope is essential for both ligament function and knee kinematics. Even though many articles were published in the literature, the long term influence of open wedge high tibial osteotomy on the poster...
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High tibial osteotomy (HTO) is a useful alternative in the treatment of symptomatic varus malalignment. However, among its drawbacks is the tendency to decrease patellar height and increase the posterior tibial slope. The increased tibial slope increases anterior cruciate ligament tension and may compromise its function. On the other hand, patella baja often causes anterior knee pain and, over ...
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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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Patients with unstable, malaligned knees often present a challenging management scenario, and careful attention must be paid to the clinical history and examination to determine the priorities of treatment.Isolated knee instability treated with ligament reconstruction and isolated knee malalignment treated with periarticular osteotomy have both been well studied in the past. More recently, the ...
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Radiographs of 110 patients who had undergone 120 high tibial osteotomies (60 closed-wedge, 60 open-wedge) were assessed for posterior tibial slope before and after operation, and before removal of the hardware. In the closed-wedge group the mean slope was 5.7 degrees (SD 3.8) before and 2.4 degrees (SD 3.9) immediately after operation, and 2.4 degrees (SD 3.4) before removal of the hardware. I...
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