Open-wedge high tibial osteotomy: a technical trick to avoid loss of reduction of the opposite cortex.
High tibial osteotomies for the treatment of gonarthrosis in young and active patients are well-accepted and frequently performed procedures. Several techniques are described to achieve good axial alignment with enough stability for early motion, but they come along with a considerable number of complications, such as insufficient or excessive axial correction, loss of reduction, delayed union, and pseudoarthrosis. We present a case of early loss of reduction in a medial opening-wedge high tibial osteotomy and a simple technical trick to avoid and treat this potential complication.
Paccola
C A J
CA
Dept of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Hospital das Clínicas, Ribeirão Preto School of Medicine, University of São Paulo, Av. Bandeirantes 3900, CEP 14048-900, Ribeirão Preto, São Paulo, Brazil. cajpacco@fmrp.usp.br
Fogagnolo
F
F
D001863:Bone Screws; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020370:Osteoarthritis, Knee / Q000601:surgery; D010027:Osteotomy / Q000009:adverse effects* / Q000379:methods*; D013977:Tibia / Q000601:surgery; D013978:Tibial Fractures / Q000209:etiology* / Q000601:surgery*