We compared the incidence and severity of complications during and after closing- and opening-wedge high tibial osteotomy used for the treatment of varus arthritis of the knee, and identified the risk factors associated with the development of complications. In total, 104 patients underwent laterally based closing-wedge and 90 medial opening-wedge high tibial osteotomy between January 1993 and ...

ABSTRACT Tibial plateau leveling osteotomy (TPLO) associated to cranial wedge closing ostectomy (CCWO) has been one of the best options manage cruciate ligament (CCL) disease and excessive tibial angle (TPA) in large dogs, however, complication rate is potentially high. It believed that a more robust fixation necessary stabilize them decrease risk implant failure. A 6-year-old male American Pit...

Computer-assisted navigation is used to improve the accuracy and precision of correction angles during high tibial osteotomy. Most studies have reported that this technique reduces the outliers of coronal alignment and unintended changes in the tibial posterior slope angle. However, more sophisticated studies are necessary to determine whether the technique will improve the clinical results and...

BACKGROUND Increased stability of posterolateral corner knee injuries has been observed clinically after proximal tibial medial opening wedge osteotomies. HYPOTHESIS Static varus and external rotatory stability will be significantly improved in a knee with a grade 3 posterolateral knee injury after a proximal tibial medial opening wedge osteotomy. STUDY DESIGN Controlled laboratory study. ...

OBJECTIVES The purpose of this study was to investigate whether platelet-rich plasma (PRP) enhances osseous healing in conjunction with a high tibial osteotomy in dogs. STUDY DESIGN Randomized controlled trial. METHODS Sixty-four client-owned pet dogs with naturally occurring rupture of the anterior cruciate ligament and that were to be treated with a high tibial osteotomy (tibial plateau l...

Knee axial deformities associated with medial or lateral compartment osteoarthritis can be reliably addressed with high tibial osteotomies. Different surgical techniques can be successfully used for achieving the correction. Whatever the technique used, accurate patient selection and precise surgical procedure are critical to the success of the operation. The authors believe that proximal tibia...

Realignment of the hip knee and ankle can be achieved by extra-articular osteotomy if there is no intra-articular deformity or incongruity. Intra-articular osteotomy of the femoral head, femoral condyles, tibial plateaus and tibial plafond can all be achieved technically and biologically and lead to a congruous joint. This is a new frontier for realignment surgery extending the indications for ...

BACKGROUND Tibial Tubercle Osteotomy has shown much promise in revision total knee replacement. Methods of repair previously described include screw and wire fixation. Both methods have significant complications. METHODS This article describes suture fixation of the osteotomy using Ethibond sutures placed medially with a lateral periosteal hinge. RESULTS This method of fixation relies upon ...

OBJECTIVE To investigate arterial vascularity at the level of the proximal tibia as a potential source of the severe intra-operative haemorrhage, which has been previously reported as a complication during tibial plateau levelling osteotomy (TPLO) and triple tibial osteotomy (TTO) surgeries in dogs. To devise a surgical approach for the management of this complication. METHOD Eight pelvic lim...