Revisiting High Tibial Osteotomy: Fifty Years of Experience with the Opening-Wedge Technique

Poignard, A.; Lachaniette, C. H. Flouzat; Amzallag, Julien; Hernigou, P.
December 2010
Journal of Bone & Joint Surgery, American Volume;2010 Supplement 2, Vol. 92-A, p187
Academic Journal
The article presents a research report on the re-emerging technology of open-wedge technique in high tibial osteotomy to treat pain and disability caused by medial femorotibial degenerative articular disease. The report provides information on the determination of the wedge size, the technical advances of the treatment and problems in posterior slope and patella baja. Total knee arthroplasty and opening-wedge tibial osteotomy procedures are presented to accomplish good realignment in the knees.


Related Articles

  • The Effect of High Tibial Osteotomy on the Posterior Tibial Slope. DRAGOSLOVEANU, Serban; CRISTEA, Stefan; DRAGOSLOVEANU, Calin // Romanian Journal of Medical Practice;2014, Vol. 9 Issue 2, p173 

    Introduction: High tibial osteotomy remains a useful procedure for delaying total knee arthroplasty for young patients with unicompartimental medial osteoarthritis of the knee. The tibial posterior slope is essential for both ligament function and knee kinematics. Even though many articles were...

  • Anterolateral approach using tibial tubercle osteotomy for total knee arthroplasty: can we predict failure? Wishart, Marc; Arnold, Markus; Huegli, Rolf; Amsler, Felix; Friederich, Niklaus; Hirschmann, Michael // International Orthopaedics;Dec2012, Vol. 36 Issue 12, p2485 

    Purpose: The purpose of this study was to identify predictive factors for the occurrence of complications in a consecutive series of patients who underwent step-cut tibial tubercle osteotomy (TTO) and subsequent screw refixation in primary total knee arthroplasty (TKA). Methods: Using...

  • Incidence of osteotomies around the knee for the treatment of knee osteoarthritis: A 22-year population-based study. Niinimäki, Tuukka; Eskelinen, Antti; Ohtonen, Pasi; Junnila, Mika; Leppilahti, Juhana // International Orthopaedics;Jul2012, Vol. 36 Issue 7, p1399 

    Purpose: Both tibial and femoral osteotomies have been used for the treatment of knee osteoarthritis (OA). Due to the clinical success of total knee arthroplasty (TKA) the current role and incidence of osteotomies remains unknown. The aim of this population-based study was to assess the...

  • Are the long term results of a high-flex total knee replacement affected by the range of flexion? Nakamura, Shinichiro; Ito, Hiromu; Kobayashi, Masahiko; Nakamura, Kenji; Toyoji, Ueo; Komistek, Richard; Nakamura, Takashi // International Orthopaedics;Apr2014, Vol. 38 Issue 4, p761 

    Purpose: The purpose of this study was to examine the effect of deep flexion on the long-term durability of a high-flex ceramic implant in total knee arthroplasty. Methods: Five hundred and five consecutive knees replaced with a Bi-Surface knee system (Kyocera Medical, Osaka, Japan) were divided...

  • Digital templating in total knee and hip replacement: an analysis of planning accuracy. Kniesel, Bettina; Konstantinidis, Lukas; Hirschmüller, Anja; Südkamp, Norbert; Helwig, Peter // International Orthopaedics;Apr2014, Vol. 38 Issue 4, p733 

    Purpose: The aim of this study was to determine how well pre-operative size selection for total knee and hip arthroplasties based on the digital imaging with and without additional referencing correlated with the size actually implanted. Methods: Size selection planning of total knee...

  • Effects of pre-surgical education on patient expectations in total knee replacements. Furney, Steven; Alden, Natasha // KAHPERD Journal;Spring2014, Vol. 51 Issue 2, p14 

    Each year over 27 million Americans are diagnosed with osteoarthritis (OA). OA is characterized by the erosion of articular cartilage, osteophyte formation and joint-space narrowing. Total-knee arthroplasties (TKA) or total-knee replacements have been shown to be a cost-effective, successful,...

  • Does improved instrumentation result in better component alignment in total knee arthroplasty? Hassaballa, Mo; Budnar, Vijaya; Gbejuade, Herbert; Learmonth, Ian // Orthopedic Reviews;2011, Vol. 3 Issue 1, p9 

    Accurate component alignment and joint line reproduction in total knee replacement (TKR) is crucial for successful clinical outcome. Advances in instrumentation and better understanding of the biomechanics can help to achieve better three dimensional alignments of TKR components and joint line...

  • Comment on Quinn et al.: the use of postoperative suction drainage in total knee arthroplasty: a systematic review. Hu, Jianzhong; Zeng, Lei; Lu, Hongbin // International Orthopaedics;Dec2014, Vol. 38 Issue 12, p2651 

    A letter to the editor is presented in response to the article "The use of postoperative suction drainage in total knee arthroplasty: A systematic review" in the July 2014 issue.

  • A Prospective Randomized Study of Minimally Invasive Total Knee Arthroplasty Compared with Conventional Surgery. Wülker, N.; Lambermont, J. P.; Sacchetti, L.; Lazaró, J. G.; Nardi, J. // Journal of Bone & Joint Surgery, American Volume;7/7/2010, Vol. 92-A Issue 7, p1584 

    Background: Despite intense debate regarding whether minimally invasive techniques for total knee arthroplasty improve clinical outcomes over standard techniques, few prospective randomized trials addressing this debate are available in the literature. We therefore designed this multi center...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics