title: Technical aspects of computer-assisted opening wedge high tibial osteotomy.
abstract: This study reports a technical approach used in the application of computer-assisted navigation for patients undergoing a medial opening wedge proximal tibial osteotomy. Alignment of the limb can be monitored and documented at the beginning, during, and end of surgery. Surgical incisions are 4-6 cm in length and operative time (including the intra-articular arthroscopic procedure and osteotomy) averages 68 minutes, with 12 seconds of total fluoroscopy using a mini C-arm. Follow-up radiographic assessment in the office setting confirms corrections within 2 degrees of the planned correction. Computer-assisted navigation is a valuable adjunct during opening wedge proximal tibial osteotomy as it provides real-time intraoperative information that contributes to and confirms decision-making.
authors.affiliation: Southern California Center for Sports Medicine, Long Beach, CA, USA.
authors.forename: Douglas W
authors.initials: DW
authors.lastname: Jackson
authors.forename: Blaine
authors.initials: B
authors.lastname: Warkentine
mesh_terms: D006801:Humans; D007719:Knee Joint / Q000601:surgery*; D009873:Operating Rooms / Q000458:organization & administration; D010027:Osteotomy / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013977:Tibia / Q000601:surgery*