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Medial Opening Wedge High Tibial Osteotomy

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Abstract

The most widely spread and frequently performed osteotomy around the knee joint is the medial opening wedge high tibial osteotomy (mwHTO), a procedure that has managed to occupy a spotlight position as a powerful modality for the treatment of medial compartment gonalgia and degeneration [1–3]. The art is surely not in the technicality aspect of the procedure, but in correct patient selection. Therefore, the procedure would provide an elegant modality for the symptomatic patient with a constitutional metaphyseal varus of the proximal tibia. A few aspects are provided in the following chapter.

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References

  1. Naudie D, Bourne RB, Rorabeck CH, et al. The install award. Survivorship of the high tibial valgus osteotomy. A 10-to-22-year followup study. Clin Orthop Relat Res. 1999;(367):18–27.

    Google Scholar 

  2. Fujisawa Y, Masuhara K, Shiomi S. The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints. Orthop Clin North Am. 1979;10:585–608.

    CAS  PubMed  Google Scholar 

  3. Floerkemeier S, Staubli AE, Schroeter S, et al. Outcome after high tibial open-wedge osteotomy: a retrospective evaluation of 533 patients. Knee Surg Sports Traumatol Arthrosc. 2013;21:170–80.

    Article  Google Scholar 

  4. Nakayama H, Schröter S, Yamamoto C, et al. Large correction in opening wedge high tibial osteotomy with resultant joint-line obliquity induces excessive shear stress on the articular cartilage. Knee Surg Sports Traumatol Arthrosc. 2018;26:1873–8.

    Article  Google Scholar 

  5. Brinkman J-M, Lobenhoffer P, Agneskirchner JD, et al. Osteotomies around the knee. J Bone Joint Surg (Br). 2008;90-B:1548–57.

    Article  Google Scholar 

  6. Agneskirchner JD, Hurschler C, Wrann CD, et al. The effects of valgus medial opening wedge high tibial osteotomy on articular cartilage pressure of the knee: a biomechanical study. Arthroscopy. 2007;23:852–61.

    Article  Google Scholar 

  7. Jackson JP, Waugh W. The technique and complications of upper tibial osteotomy. J Bone Joint Surg (Br). 1974;56-B:236–45.

    Article  Google Scholar 

  8. Spahn G. Complications in high tibial (medial opening wedge) osteotomy. Arch Orthop Trauma Surg. 2004;124:649–53.

    Article  Google Scholar 

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Ahmad, S.S. (2020). Medial Opening Wedge High Tibial Osteotomy. In: Hirschmann, M., Kon, E., Samuelsson, K., Denti, M., Dejour, D. (eds) ESSKA Instructional Course Lecture Book . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61264-4_4

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  • DOI: https://doi.org/10.1007/978-3-662-61264-4_4

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61263-7

  • Online ISBN: 978-3-662-61264-4

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