'Fine-tuned' correction of tibial slope with a temporary external fixator in opening wedge high-tibial osteotomy

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Kwang Am JungKyung Hwan Yoon

Abstract

The authors describe a surgical procedure to 'fine-tune' the tibial slope during high-tibial osteotomy. Fifteen consecutive patients were treated for medial compartment osteoarthritis of the knee using a temporary unilateral external fixator and accompanying internal fixator composed of two plates (with different sized space). All 15 patients were evaluated by measuring femoro-tibial angles (FTAs) in the frontal plane, and using the proximal tibial anatomical axis (PTAA) and the posterior tibial cortex (PTC) methods to assess tibial slope in the sagittal plane. FTA, PTAA, and PTC angles were measured using: (1) radiographs taken before surgery, (2) fluoroscopic images taken after inserting the first plate during surgery, (3) fluoroscopic images taken after tibial slope restoration using an external fixator system during surgery, and finally using, (4) radiographs taken after surgery. In all patients, preoperative PTAA and PTC angles increased significantly after inserting the first plate posteromedially at osteotomy site. After tibial slope had been accurately restored using the external fixator system, PTAA and PTC angles decreased to the preoperative tibial slope level without changing femorotibial angles in the coronal plane...Continue Reading

References

Jan 21, 2003·The Journal of Bone and Joint Surgery. American Volume·Tomihisa KoshinoTomoyuki Saito
Apr 2, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Cengiz SenLevent Eralp
May 30, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp Lobenhoffer, Jens D Agneskirchner
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Sep 16, 2004·The Journal of Knee Surgery·A AmendolaM Clatworthy
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Aug 10, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Taner GunesMehmet Erdem

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Citations

Feb 3, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Elhadi Sariali, Y Catonne
Sep 29, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Matthias JacobiRoland P Jakob
Feb 8, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S UtzschneiderP E Müller
Nov 25, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·R IorioA Ferretti
Oct 12, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S LustigD A Parker
Oct 26, 2010·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Kwang Am JungChang Hyun Nam
Apr 9, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Seung-Yup LeeJung-Ro Yoon
Jan 17, 2012·Orthopaedics & Traumatology, Surgery & Research : OTSR·A DucatY Catonné
Mar 13, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Omer OzelHarun Mutlu
May 11, 2016·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Yasushi AkamatsuTomoyuki Saito
Mar 1, 2019·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Shinichi KuriyamaHidehiko Higaki

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