Valgus tibial osteotomy: avoiding the pitfalls.
Valgus tibial osteotomy is a well-accepted procedure for the treatment of unicompartmental degenerative joint disease of the knee. For a good result to be obtained, at least for degrees of valgus angulation with the leg in the weight-bearing position must be achieved. Experience with 20 procedures showed a tendency for undercorrection, which led to poor results. After analyzing the technical reasons for these poor results, we devised a detailed protocol that included patient selection, preoperative planning, and an operative technique that minimizes the chance of technical error.
D000293:Adolescent; D000328:Adult; D001696:Biomechanical Phenomena; D005069:Evaluation Studies as Topic; D006801:Humans; D007592:Joint Diseases / Q000601:surgery*; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D011859:Radiography; D013977:Tibia / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*