Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Nov 17;45(4):439-43.
doi: 10.1016/S2255-4971(15)30394-3. eCollection 2010 Jul-Aug.

RADIOGRAPHIC ASSESSMENT OF THE OPENING WEDGE PROXIMAL TIBIAL OSTEOTOMY

Carlos Francisco Bittencourt Silva  1 , Eduardo Kastrup Bittencourt Camara  1 , Luiz Antonio Vieira  2 , Fernando Adolphsson  3 , Rodrigo Ribeiro Pinho Rodarte  4
Affiliations

RADIOGRAPHIC ASSESSMENT OF THE OPENING WEDGE PROXIMAL TIBIAL OSTEOTOMY

Carlos Francisco Bittencourt Silva et al. Rev Bras Ortop. .

Abstract

Objective: To radiographically evaluate individuals who underwent opening wedge proximal tibial osteotomy, with the aim of analyzing the proximal tibial slope in the frontal and sagittal planes, and the patellar height.

Method: The study included 22 individuals who were operated at the National Traumatology and Orthopedics Institute (INTO) for correction of varus angular tibial deviation using the opening wedge osteotomy (OWO) technique with the Orthofix monolateral external fixator. Patients with OWO whose treatment was completed between January 2000 and December 2006 were analyzed. The measurement technique consisted of using anteroposterior radiographs with loading and lateral views with the operated knees flexed at 30°.

Results: There were no statistically significant differences between the pre and postoperative tibial slope and patellar height values in the patients evaluated.

Conclusion: Opening wedge proximal tibial osteotomy is a technique that avoids the problems presented by high proximal tibial osteotomy, since it is done without causing changes to the extensor mechanism, ligament imbalance or distortions in the proximal tibia.

Keywords: Osteoarthritis; Osteotomy; Tibia/radiography.

PubMed Disclaimer

References

    1. Sprenger TR, Doerzbacher JF. Tibial osteotomy for the treatment of varus gonarthrosis. Survival and failure analysis to twenty-two years. J Bone Joint Surg Am. 2003;85(3):469–474. - PubMed
    1. Scuderi GR, Windsor RE, Insall JN. Observations on patellar height after proximal tibial osteotomy. J Bone Joint Surg Am. 1989;71(2):245–248. - PubMed
    1. Turi G, Cassini M, Tomasi PS, Armotti P, Lavini F. [Directional osteotomy of the knee using hemicallotasis] Chir Organi Mov. 1987;72(3):205–209. - PubMed
    1. Magyar G, Toksvig-Larsen S, Lindstrand A. Hemicallotasis open-wedge osteotomy for osteoarthritis of the knee. Complications in 308 operations. J Bone Joint Surg Br. 1999;81(3):449–451. - PubMed
    1. Magyar G, Ahl TL, Vibe P, Toksvig-Larsen S, Lindstrand A. Open-wedge osteotomy by hemicallotasis or the closed-wedge technique for osteoarthritis of the knee. A randomised study of 50 operations. J Bone Joint Surg Br. 1999;81(3):444–448. - PubMed

LinkOut - more resources