title: [Medial opening-wedge high tibial valgus osteotomy, using a stable TomoFix plate, in genu varum arthritis: surgical technique].
abstract: The authors present the technique of high tibial correction osteotomy by the medial opening procedure, with the use of an angle-stable TomoFix plate. The prerequisite for a long-term good outcome of corrective osteotomy in genu varum is to achieve limb alignment permitting transfer of weight-bearing from the affected medial compartment to the healthy lateral compartment of the knee. The development of implants that maintain a stable angle has facilitated corrective osteotomy with an opening wedge on the medial side of the proximal tibia. These implants provide stable fixation even when a high correction of the mechanical axis is needed. The authors present the case of a patient with varus malalignment following a fracture of the tibia. In order to achieve correction of the limb's mechanical axis, it was necessary to open the proximal tibia osteotomy with a wedge that was 2.5 cm on the outer side.
authors.affiliation: Klinika dr. Pírka, s. r. o., Mladá Boleslav. danhor@seznam.cz
authors.forename: D
authors.initials: D
authors.lastname: Horácek
authors.forename: O
authors.initials: O
authors.lastname: Cech
authors.forename: M
authors.initials: M
authors.lastname: Weissinger
mesh_terms: D000328:Adult; D001860:Bone Plates; D005260:Female; D006801:Humans; D016916:Joint Deformities, Acquired / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D007719:Knee Joint / Q000473:pathology / Q000601:surgery*; D020370:Osteoarthritis, Knee / Q000150:complications; D010027:Osteotomy / Q000379:methods*; D013977:Tibia / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications