Precise, computed-assisted leg angle correction with open-wedge high tibial osteotomy

Abstract

The computer-assisted open-wedge high tibial osteotomy with tricortical grafts stabilized by LCP fixation gives exact and reproducible results without loss of correction.

Lebensqualität und Arbeitsfähigkeit nach operativer Behandlung von Tibiakopffrakturen

“…Im eigenen Kollektiv wurden 14% mit einer Valgusfehlstellung korrigiert. Der positive Einfluss einer sekundären Korrektur wird bestätigt [23].…”

Opening Wedge High Tibial Osteotomy

“…6). The navigation system is of great help in controlling the mechanical axis and also the tibial slope (Hart et al, 2007).…”

“…Few complications of HTO are described in the literature Waugh, 1974, Rinonapoli et al, 1998;Song et al, 2007;Gebhard et al, 2011, Hart et al, 2007, Ribeiro et al, 2009, Miller et al, 2009, Meidinger et al, 2011, Gaasbeek et al, 2010. However, due to the continuous development of the technique and of new synthesis materials, new studies should be undertaken in order to evaluate the complication rates according to each modality of HTO.…”

“…In recent years, we have seen an increase in the number of publications on the use of the computerized navigation system in osteotomy (Gebhard et al, 2011;Hart et al, 2007). Its purpose is to help obtain the ideal final mechanical axis.…”

“…Simple clinical observation and/or the use of the scalpel handle in the radioscopy do not show great precision (Noyes et al, 2000). But the navigation system gives accuracy and precision to the osteotomy, despite the increased surgery times and the risk of fracture of the femur and tibia (Song et al, 2007;Gebhard et al, 2011;Hart et al, 2007).…”