Navigated open-wedge high tibial osteotomy: advantages and disadvantages compared to the conventional technique in a cadaver study

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Stefan HankemeierChristian Krettek

Abstract

High tibial osteotomy (HTO) is an established therapy for the treatment of symptomatic varus malaligned knees. A main reason for disappointing clinical results after HTO is the under- and overcorrection of the mechanical axis due to insufficient intraoperative visualisation. Twenty legs of fresh human cadaver were randomly assigned to navigated open-wedge HTO (n=10) or conventional HTO using the cable method (n=10). Regardless of the pre-existing alignment, the aim of all operations was to align the mechanical axis to pass through 80% of the tibial plateau (beginning with 0% at the medial edge of the tibial plateau and ending with 100% at the lateral edge). This overcorrection was chosen to ensure a sufficient amount of correction. Thus, the medial proximal tibia angle (MPTA) increased by 9.1+/-2.9 degrees (range 5.2 degrees -12.3 degrees ) on the average after navigated HTO and by 8.9+/-2.9 degrees (range 4.7 degrees -12.6 degrees ) after conventional HTO. After stabilization with a fixed angle implant, the alignment was measured by CT. After navigated HTO, the mechanical axis passed the tibial plateau through 79.7% (range 75.5-85.8%). In contrast, after conventional HTO, the average intersection of the mechanical axis was at ...Continue Reading

References

May 1, 1991·The Journal of Bone and Joint Surgery. British Volume·M SalehD J Edwards
Jul 13, 2001·JAMA : the Journal of the American Medical Association·L SharmaD D Dunlop
May 6, 2003·The Journal of Bone and Joint Surgery. British Volume·J M Sikorski, S Chauhan
May 30, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Philipp Lobenhoffer, Jens D Agneskirchner
Mar 27, 2004·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Emre CulluHakki Sur
Apr 7, 2004·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Christoph B MartiRoland P Jakob
Jun 4, 2004·The Journal of Bone and Joint Surgery. British Volume·J M Sikorski

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Citations

Mar 17, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·D KendoffT Hüfner
Jun 10, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·D KendoffA D Pearle
Oct 14, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sung-Jae KimChang-Hun Sung
Nov 27, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Mustafa CitakAndrew D Pearle
Dec 25, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·S HankemeierR Meller
Feb 12, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Daniel KendoffAndrew D Pearle
Jul 30, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Y AkamatsuT Saito
Nov 25, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·R IorioA Ferretti
Jan 21, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dae Kyung BaeJae Wan Seo
Jul 5, 2012·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Kilian ReisingPhilipp Niemeyer
Jun 24, 2009·International Orthopaedics·James A W TunggalJames P Waddell
Jun 19, 2013·International Orthopaedics·Cristiano Hossri RibeiroPatricia Maria de Moraes Barros Fucs
Sep 27, 2013·Archives of Orthopaedic and Trauma Surgery·Jin Goo KimSang Jin Yang
Mar 14, 2013·Current Reviews in Musculoskeletal Medicine·Simon W YoungMark Clatworthy
May 16, 2008·Sports Medicine and Arthroscopy Review·Eun-Kyoo SongHyoung-Yeon Seo
Mar 28, 2013·BMC Musculoskeletal Disorders·Chu-An LuoChing-Shiow Tseng
Sep 15, 2009·European Journal of Medical Research·J LütznerS Kirschner
May 11, 2010·European Journal of Medical Research·J LütznerS Kirschner
Apr 12, 2014·International Orthopaedics·Cristiano Hossri RibeiroPatricia Maria Moraes de Barros Fucs
Aug 12, 2014·Skeletal Radiology·Nael HawiChristian Krettek
Jul 11, 2014·International Orthopaedics·Matthias J FeuchtStefan Hinterwimmer
Jun 1, 2007·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·Sandra MartelliMaurilio Marcacci
Oct 27, 2012·Computer Aided Surgery : Official Journal of the International Society for Computer Aided Surgery·C C EgidyA Daluiski
Aug 7, 2012·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Dae-Hee LeeSeung-Beom Han
Jan 5, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·James MooreFrédéric Lavoie
Oct 20, 2010·Orthopedics·Raffaele IorioAndrea Ferretti
Aug 19, 2008·Revue de chirurgie orthopédique et réparatrice de l'appareil moteur·F DubranaP Neyret
Jan 28, 2009·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Olivier CartiauxXavier Banse
Apr 5, 2011·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Emmanouil LiodakisMohamed Kenawey
Jan 15, 2013·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Michael KrausHendrik Schöll
Mar 1, 2012·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·Emmanouil LiodakisChristian Krettek
Apr 9, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·L D JonesA J Price
Jul 15, 2015·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dae-Hee LeeSeung-Beom Han
Jun 20, 2015·SpringerPlus·Khaled HasanPaul Zalzal
Oct 28, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·James YanOlufemi R Ayeni
Aug 18, 2009·The American Journal of Sports Medicine·Joon Ho WangJae Woo Cho

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