title: Fractioned drilling--a technique for wedge osteotomy of the knee.
abstract: High tibial wedge osteotomies are often followed by transient neurological complications. From a retrospective study of 132 patients it appears that the incidence of this troublesome complication can be reduced after osteotomy with external fixation by using a technique of making consecutive drill holes of increasing diameter followed by osteoclasis. This reduction of neurological complications was most marked when a less extensive surgical approach was used.
authors.affiliation: Stiftung Orthopädische Universitätsklinik Heidelberg, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Sabo
authors.forename: S
authors.initials: S
authors.lastname: Flierl
authors.forename: M
authors.initials: M
authors.lastname: Thomsen
authors.forename: H
authors.initials: H
authors.lastname: Cotta
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D059348:Peripheral Nerve Injuries; D011183:Postoperative Complications / Q000517:prevention & control*; D011859:Radiography; D012189:Retrospective Studies; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*