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[Lateral open wedge tibial osteotomy for posttraumatic deformity].

Authors :
Karpinski K
Braun PJ
Diermeier T
Source :
Operative Orthopadie und Traumatologie [Oper Orthop Traumatol] 2024 Oct; Vol. 36 (5), pp. 238-245. Date of Electronic Publication: 2024 Sep 03.
Publication Year :
2024

Abstract

Objective: Correction of pseudoinstability and tibial malalignment by re-establishment of the pretraumatic tibial axis.<br />Indications: Posttraumatic valgus malalignment accompanied by pseudoinstability.<br />Contraindications: Infections, significant inhibition of movement and multidirectional ligament instability.<br />Surgical Technique: Standard anterolateral approach to the proximal tibial head. Lateral open wedge high tibial osteotomy above (supra) the tibiofibular joint and opening until the pseudoinstability of the lateral collateral ligament is levelled.<br />Postoperative Management: Partial weight bearing for 4 weeks, after radiological control full body weight loading is allowed. Implant removal after full bony consolidation.<br />Results: There is limited evidence in the current literature but the available results show good results in 70% of the cases in long-term follow-up.<br /> (© 2024. The Author(s), under exclusive licence to Springer Medizin Verlag GmbH, ein Teil von Springer Nature.)

Details

Language :
German
ISSN :
1439-0981
Volume :
36
Issue :
5
Database :
MEDLINE
Journal :
Operative Orthopadie und Traumatologie
Publication Type :
Academic Journal
Accession number :
39225903
Full Text :
https://doi.org/10.1007/s00064-024-00864-8