PMID: 8961229Jan 1, 1996Paper

Open wedge high tibial osteotomy using fractioned drill osteotomy: a surgical modification that lowers the complication rate

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
S FlierlL Perlick

Abstract

We investigated retrospectively 132 cases of open wedge high tibial osteotomy using an external fixation device, concentrating on the rate of neurological complications. One group of patients underwent surgery according to the conventional technique (n = 89). The rate of transient neurological complications was 15.7%; 7 months after surgery the rate of persistent deficits was 12.4%. For the second group (n = 43) a modified surgical technique was used that lowered the complication rate significantly (transient deficits 14%, persistent deficits 4.7%). In the modified technique the osteotomy is not performed in the conventional way using an oscillating saw but through consecutive drill holes of increasing diameter followed by osteoclasis. The lower complication rate in the second group is mainly due to the less extensive approach that leads to a smaller number of postoperative tibialis anterior syndromes (type B lesion). No differences were found with type C lesions (extension deficit of D1). No complete peroneal nerve palsy (type A) occurred in either group. We conclude that the reduction of neurological complications in group 2 is related to the less extensive approach of the proposed technique.

References

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Citations

Oct 2, 2003·Archives of Orthopaedic and Trauma Surgery·Gunter Spahn
May 3, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·W NebelungF Awiszus
Feb 16, 2007·Sports Medicine and Arthroscopy Review·David A Parker, Darius G Viskontas
Oct 8, 2009·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Dietrich PapeDieter M Kohn
Sep 25, 2009·The Journal of Arthroplasty·Marshall A KuremskyJohn L Masonis
Jun 9, 2009·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Bruce S MillerEdward M Wojtys
Mar 7, 2002·The Journal of Small Animal Practice·J M E Ristic, M F Stidworthy
Mar 29, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Irfan Esenkaya, Nurzat Elmali
Aug 12, 2006·Journal of Homosexuality·Amber B Raley, Jennifer L Lucas
Oct 2, 2013·Iranian Red Crescent Medical Journal·Seyed Salman SamaniShiva Razi
Aug 23, 2005·The Journal of the American Academy of Orthopaedic Surgeons·John M WrightRussell E Windsor
May 12, 2017·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Maximilian SchenkeWolf Strecker
Jan 21, 2003·The Journal of Bone and Joint Surgery. American Volume·Tomihisa KoshinoTomoyuki Saito

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