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Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration.

ABSTRACT: High tibial osteotomy (HTO) is a useful alternative in the treatment of symptomatic varus malalignment. However, among its drawbacks is the tendency to decrease patellar height and increase the posterior tibial slope. The increased tibial slope increases anterior cruciate ligament tension and may compromise its function. On the other hand, patella baja often causes anterior knee pain and, over time, may favor degeneration of the patellofemoral joint. The aim of this study is to describe a technical modification of the standard open-wedge HTO. It consists of a double inverted L-shaped cut, which includes the anterior tibial tuberosity in the proximal fragment, to avoid any alteration of patellar height and control the eventual increase of the posterior tibial slope.

SUBMITTER: Monllau JC

PROVIDER: S-EPMC5765526 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature

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Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration.

Monllau Juan C JC Erquicia Juan I JI Ibañez Federico F Ibañez Maximiliano M Gelber Pablo E PE Masferrer-Pino Angel A Pelfort Xavier X

Arthroscopy techniques 20171113 6

High tibial osteotomy (HTO) is a useful alternative in the treatment of symptomatic varus malalignment. However, among its drawbacks is the tendency to decrease patellar height and increase the posterior tibial slope. The increased tibial slope increases anterior cruciate ligament tension and may compromise its function. On the other hand, patella baja often causes anterior knee pain and, over time, may favor degeneration of the patellofemoral joint. The aim of this study is to describe a techni ...[more]

PMID: 29349013

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