Search for


search for




 

Current concepts in open-wedge high tibial osteotomy
Arthrosc Orthop Sports Med 2015;2:12-22
Published online January 1, 2015;  https://doi.org/10.14517/aosm14009
© 2015 Arthroscopy and Orthopedic Sports Medicine.

Kyung Wook Nha

Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, Goyang, Korea
Correspondence to: Kyung-Wook Nha, Department of Orthopaedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwa-ro,
Arthroscopy and Ilsanseo-gu, Goyang 411-706, Korea. Tel: +82-31-910-7301, Fax: +82-31-910-7967, E-mail: kwnhamj@hotmail.com
Received May 22, 2014; Revised June 23, 2014; Accepted June 25, 2014.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
High tibial osteotomy is the most widely used surgical method to treat osteoarthritis with combined varus deformity of the knee. This treatment is associated with a highly satisfactory clinical outcome providing that patient selection and surgery performance are carried out accurately. Commonly, the medial open-wedge or the lateral closed-wedge high tibial osteotomies are used. In this review, we give a thorough investigation of the factors related to the indications, preoperative assessment, execution, complications, rehabilitation process, and current opinions of medial open-wedge osteotomy of the high tibia.
Keywords : Osteoarthritis; Osteotomy; High tibial osteotomy
References
  1. Chae DJ, Shetty GM, Lee DB, Choi HW, Han SB, Nha KW. Tibial slope and patellar height after opening wedge high tibia osteotomy using autologous tricortical iliac bone graft. Knee 2008;15:128-33.
    Pubmed CrossRef
  2. Hernigou P, Medevielle D, Debeyre J, Goutallier D. Proximal tibial osteotomy for osteoarthritis with varus deformity. A ten to thirteen-year follow-up study. J Bone Joint Surg Am 1987;69:33254.
  3. Kanamiya T, Naito M, Hara M, Yoshimura I. The influences of biomechanical factors on cartilage regeneration after high tibial osteotomy for knees with medial compartment osteoarthritis:clinical and arthroscopic observations. Arthroscopy 2002;18:725-9.
    Pubmed CrossRef
  4. Koshino T, Wada S, Ara Y, Saito T. Regeneration of degenerated articular cartilage after high tibial valgus osteotomy for medial compartmental osteoarthritis of the knee. Knee 2003;10:22936.
    CrossRef
  5. Chae DJ, Shetty GM, Wang KH, Montalban AS Jr, Kim JI, Nha KW. Early complications of medial opening wedge high tibial osteotomy using autologous tricortical iliac bone graft and T-plate fixation. Knee 2011;18:278-84.
    Pubmed CrossRef
  6. Lobenhoffer P, Agneskirchner JD. Improvements in surgical technique of valgus high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 2003;11:132-8.
    Pubmed
  7. Staubli AE, De Simoni C, Babst R, Lobenhoffer P. TomoFix: a new LCP-concept for open wedge osteotomy of the medial proximal tibia--early results in 92 cases. Injury 2003;34 Suppl 2:B55-62.
    Pubmed CrossRef
  8. Rose T, Imhoff AB. Complications after transgenicular osteotomies. Oper Tech Orthop 2007;17:80-6.
    CrossRef
  9. Nha KW, Lee YS, Hwang DH, et al. Second-look arthroscopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus. Arthroscopy 2013;29:226-31.
    Pubmed CrossRef
  10. Coventry MB, Ilstrup DM, Wallrichs SL. Proximal tibial osteotomy. A critical long-term study of eighty-seven cases. JBJS Am 1993;75:196-201.
    Pubmed
  11. Gst?ttner M, Pedross F, Liebensteiner M, Bach C. Long-term outcome after high tibial osteotomy. Arch Orthop Trauma Surg 2008;128:111-5.
    Pubmed CrossRef
  12. Akizuki S, Shibakawa A, Takizawa T, Yamazaki I, Horiuchi H. The long-term outcome of high tibial osteotomy: a ten- to 20-year follow-up. J Bone Joint Surg Br 2008;90:592-6.
    Pubmed CrossRef
  13. Schallberger A, Jacobi M, Wahl P, Maestretti G, Jakob RP. High tibial valgus osteotomy in unicompartmental medial osteoarthritis of the knee: a retrospective follow-up study over 13-21 years. Knee Surg Sports Traumatol Arthrosc 2011;19:1227.
    Pubmed CrossRef
  14. Dugdale TW, Noyes FR, Styer D. Preoperative planning for high tibial osteotomy. The effect of lateral tibiofemoral separation and tibiofemoral length. Clin Orthop Relat Res 1992;(274):248-64.
    Pubmed
  15. Marti CB, Gautier E, Wachtl SW, Jakob RP. Accuracy of frontal and sagittal plane correction in open-wedge high tibial osteotomy. Arthroscopy 2004;20:366-72.
    Pubmed CrossRef
  16. Lee DH, Han SB, Oh KJ, et al. The weight-bearing scanogram technique provides better coronal limb alignment than the navigation technique in open high tibial osteotomy. Knee 2014;21:451-5.
    Pubmed CrossRef
  17. Lee DH, Nha KW, Park SJ, Han SB. Preoperative and postoperative comparisons of navigation and radiologic limb alignment measurements after high tibial osteotomy. Arthroscopy 2012;28:1842-50.
    Pubmed CrossRef
  18. Elson DW, Petheram TG, Dawson MJ. High reliability in digital planning of medial opening wedge high tibial osteotomy, using Miniaci’s method. Knee Surg Sports Traumatol Arthrosc 2014 Mar 1 [Epub].
    Pubmed
  19. Lee YS, Kim MK, Byun HW, Kim SB, Kim JG. Reliability of the imaging software in the preoperative planning of the open-wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 2013 Oct 12 [Epub].
    KoreaMed CrossRef
  20. Miniaci A, Ballmer FT, Ballmer PM, Jakob RP. Proximal tibial osteotomy. A new fixation device. Clin Orthop Relat Res 1989;(246):250-9.
    Pubmed
  21. Han SB, Lee DH, Shetty GM, Chae DJ, Song JG, Nha KW. A “safe zone” in medial open-wedge high tibia osteotomy to prevent lateral cortex fracture. Knee Surg Sports Traumatol Arthrosc 2013;21:90-5.
    Pubmed CrossRef
  22. Shenoy PM, Oh HK, Nha KW, et al. Pseudoaneurysm of the popliteal artery complicating medial opening wedge high tibial osteotomy. Orthopedics 2009;32:442.
    Pubmed CrossRef
  23. Takeuchi R, Ishikawa H, Kumagai K, et al. Fractures around the lateral cortical hinge after a medial opening-wedge high tibial osteotomy: a new classification of lateral hinge fracture. Arthroscopy 2012;28:85-94.
    Pubmed CrossRef
  24. Matsunaga D, Akizuki S, Takizawa T, Yamazaki I, Kuraishi J. Repair of articular cartilage and clinical outcome after osteotomy with microfracture or abrasion arthroplasty for medial gonarthrosis. Knee 2007;14:465-71.
    Pubmed CrossRef
  25. Kwon SK, Moon HK, Choi CJ, et al. Accelerated degeneration of the discoid lateral meniscus after medial opening wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc 2012 Nov 28 [Epub].
  26. Lattermann C, Jakob RP. High tibial osteotomy alone or combined with ligament reconstruction in anterior cruciate ligamentdeficient knees. Knee Surg Sports Traumatol Arthrosc 1996;4:32-8.
    Pubmed CrossRef

November 2024, 11 (2)
Full Text(PDF) Free

Social Network Service
Services