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Published in: Knee Surgery, Sports Traumatology, Arthroscopy 2/2010

01-02-2010 | Knee

Avoiding intraoperative complications in open-wedge high tibial valgus osteotomy: technical advancement

Authors: Matthias Jacobi, Peter Wahl, Roland P. Jakob

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 2/2010

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Abstract

Open-wedge high tibial osteotomy for varus osteoarthritis of the knee is a successful treatment option, but is associated with potential intraoperative complications, jeopardizing outcome. We describe four technical hints avoiding complications as tibia plateau fracture, lateral hinge dislocation, over- and undercorrection, and unwanted increase of the posterior tibial slope and axial malrotation. The technique, which is primarily based on placing five Kirschner-wires (one for the osteotomy direction, two for the external fixator, and two for rotational and slope control) is simple, reproducible, inexpensive, and readily available.
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Metadata
Title
Avoiding intraoperative complications in open-wedge high tibial valgus osteotomy: technical advancement
Authors
Matthias Jacobi
Peter Wahl
Roland P. Jakob
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 2/2010
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-009-0928-4

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