High Tibial Osteotomy: A Follow-up Study and Description of a Modified Technic

Levy, M; Pauker, Maor H.; Lotem, M; Seelenfreund, M; Fried, A

doi:10.1097/00003086-197306000-00031

Cited by 17 publications

(14 citation statements)

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“…The proximal tibial osteotomy was performed using an inverted 'V' technique and fixed with staples. 25 The fibular osteotomy was carried out at the junction of the middle and distal third of the bone, through a separate skin incision. 26 Depending on the extent of tibial correction, an osteoperiosteal fibular segment was removed.…”

Section: Methodsmentioning

confidence: 99%

Osteogenic activity of OP-1 bone morphogenetic protein (BMP-7) in a human fibular defect

Geesink

Hoefnagels

Bulstra

1999

The Journal of Bone and Joint Surgery. British volume

150

116

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W e performed a prospective, randomised double-blind study in 24 patients undergoing high tibial osteotomy to evaluate the effectiveness of human recombinant osteogenic protein (OP-1) on a collagen type-I carrier in a critically-sized fibular defect. The study had two phases, each evaluated by clinical, radiological and DEXA methods during the first postoperative year. The first concerned the validation of the model of the fibular defect, using positive (demineralised bone) and negative (untreated) controls. The second phase concerned the osteogenic potential of OP-1 on collagen type-I v collagen type-I alone. The results of the first phase established the critically-sized nature of the defect. In the untreated group no bony changes were observed while, in the demineralised bone group, formation of new bone was visible from six weeks onwards. The results of the second phase showed no significant formation of new bone in the presence of collagen alone, while in the OP-1 group, all patients except one showed formation of new bone from six weeks onwards. This proved the osteogenic activity of OP-1 in a validated critically-sized human defect.

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Section: Methodsmentioning

confidence: 99%

Osteogenic activity of OP-1 bone morphogenetic protein (BMP-7) in a human fibular defect

Geesink

Hoefnagels

Bulstra

1999

The Journal of Bone and Joint Surgery. British volume

150

116

View full text Add to dashboard Cite

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“…1,11,12,14,18,21,26,29 In our study, it was recognised that the optimal range of the angle of correction was 164˚ to 168˚ and strict attention was given to obtaining this in both groups. It was obtained more frequently in the V procedure group than in the closing-wedge group since bony union occurred earlier in the V procedure group making retention of the optimal correction angle more likely.…”

Section: Discussionmentioning

confidence: 71%

Inverted V-shaped high tibial osteotomy compared with closing-wedge high tibial osteotomy for osteoarthritis of the knee

Aoki

Yasuda²,

Mikami

et al. 2006

The Journal of Bone and Joint Surgery. British volume

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We compared the results ten years after an inverted V-shaped high tibial osteotomy with those of a historical series of conventional closing-wedge osteotomies. The closing-wedge series consisted of 56 knees in 51 patients with a mean follow-up of 11 years (10 to 15). The inverted V-shaped osteotomy was evaluated in 48 knees in 43 patients at a mean follow-up of 14 years (10 to 19). All the patients were scored using the Japanese Orthopaedic Association rating scale for osteoarthritis of the knee and radiological assessment. The pre-operative grade of osteoarthritis was similar in both groups. Post-operatively, the knee function score was graded as satisfactory in 63% (35) of the closing-wedge group but in 89% (43) of the inverted V-shaped osteotomy group. Post-operative radiological examination showed that delayed union and loss of correction occurred more often after a closing-wedge osteotomy than after an inverted V-shaped procedure. Our study suggests that the inverted V-shaped osteotomy may offer more dependable long-term results than traditional closing-wedge osteotomy.

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“…15,16,[18][19][20] High tibial osteotomy may not provide an absolutely painless knee but brings patients in comfortable zone by correction of deformity, which ultimately leads to improved functional ability and quality of life. 20 Proximal tibial osteotomy as described by Coventry et al and Levy et al has been followed in this study. 18,20 The exact mechanism by which the patients are relieved of pain by osteotomy is not clearly understood.…”

Section: Discussionmentioning

confidence: 99%

“…20 Proximal tibial osteotomy as described by Coventry et al and Levy et al has been followed in this study. 18,20 The exact mechanism by which the patients are relieved of pain by osteotomy is not clearly understood. Some of the postulations are:…”

Section: Discussionmentioning

confidence: 99%