A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis
Medial open wedge high tibial osteotomy (OWHTO) is usually performed with proximal tuberosity osteotomy or setting the osteotomy line proximal to the tuberosity. However, OWHTO can result in patellofemoral complications due to postoperative patella infera. A new OWHTO technique, biplanar osteotomy w...
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doaj-93ee6cd1a39844f89ad2ea9ddb4483882021-06-11T05:14:15ZengElsevierArthroscopy Techniques2212-62872021-04-01104e1007e1016A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee OsteoarthritisAkira Sasaki, M.D.0Takehiko Sugita, M.D.1Nobuyuki Itaya, M.D.2Toshimi Aizawa, M.D.3Naohisa Miyatake, M.D.4Seiya Miyamoto, M.D.5Ikuo Maeda, M.D.6Masayuki Kamimura, M.D.7Atsushi Takahashi, M.D.8Hideaki Nagamoto, M.D.9Department of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai City, Japan; Address correspondence to Takehiko Sugita, M.D., Ph.D., Department of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, 4-9-22 Kamiyagari, Izumi-ku, Sendai City, 981-3121, Japan.Department of Orthopaedic Surgery, JR Sendai Hospital, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku Orthopaedic Clinic, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai City, JapanDepartment of Orthopaedic Surgery, Tohoku University Graduate School of Medicine, Sendai City, JapanMedial open wedge high tibial osteotomy (OWHTO) is usually performed with proximal tuberosity osteotomy or setting the osteotomy line proximal to the tuberosity. However, OWHTO can result in patellofemoral complications due to postoperative patella infera. A new OWHTO technique, biplanar osteotomy with a distal tuberosity osteotomy, was reported in 2004 to prevent postoperative patella infera. To ensure that the 2 osteotomy lines maintain perpendicular, we describe the OWHTO procedure with a distal tuberosity osteotomy technique using a TriS Medial HTO Plate System (Olympus Terumo Biomaterials Corp., Tokyo, Japan) and a right angle guide we developed. In this Technical Note, we describe the procedure and advantages, risks, and limitations, as well as the pearls and pitfalls based on our experience.http://www.sciencedirect.com/science/article/pii/S2212628720303844 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Akira Sasaki, M.D. Takehiko Sugita, M.D. Nobuyuki Itaya, M.D. Toshimi Aizawa, M.D. Naohisa Miyatake, M.D. Seiya Miyamoto, M.D. Ikuo Maeda, M.D. Masayuki Kamimura, M.D. Atsushi Takahashi, M.D. Hideaki Nagamoto, M.D. |
spellingShingle |
Akira Sasaki, M.D. Takehiko Sugita, M.D. Nobuyuki Itaya, M.D. Toshimi Aizawa, M.D. Naohisa Miyatake, M.D. Seiya Miyamoto, M.D. Ikuo Maeda, M.D. Masayuki Kamimura, M.D. Atsushi Takahashi, M.D. Hideaki Nagamoto, M.D. A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis Arthroscopy Techniques |
author_facet |
Akira Sasaki, M.D. Takehiko Sugita, M.D. Nobuyuki Itaya, M.D. Toshimi Aizawa, M.D. Naohisa Miyatake, M.D. Seiya Miyamoto, M.D. Ikuo Maeda, M.D. Masayuki Kamimura, M.D. Atsushi Takahashi, M.D. Hideaki Nagamoto, M.D. |
author_sort |
Akira Sasaki, M.D. |
title |
A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis |
title_short |
A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis |
title_full |
A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis |
title_fullStr |
A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis |
title_full_unstemmed |
A Right Angle Guide for Distal Tuberosity Osteotomy With Medial Open Wedge High Tibial Osteotomy for Varus Knee Osteoarthritis |
title_sort |
right angle guide for distal tuberosity osteotomy with medial open wedge high tibial osteotomy for varus knee osteoarthritis |
publisher |
Elsevier |
series |
Arthroscopy Techniques |
issn |
2212-6287 |
publishDate |
2021-04-01 |
description |
Medial open wedge high tibial osteotomy (OWHTO) is usually performed with proximal tuberosity osteotomy or setting the osteotomy line proximal to the tuberosity. However, OWHTO can result in patellofemoral complications due to postoperative patella infera. A new OWHTO technique, biplanar osteotomy with a distal tuberosity osteotomy, was reported in 2004 to prevent postoperative patella infera. To ensure that the 2 osteotomy lines maintain perpendicular, we describe the OWHTO procedure with a distal tuberosity osteotomy technique using a TriS Medial HTO Plate System (Olympus Terumo Biomaterials Corp., Tokyo, Japan) and a right angle guide we developed. In this Technical Note, we describe the procedure and advantages, risks, and limitations, as well as the pearls and pitfalls based on our experience. |
url |
http://www.sciencedirect.com/science/article/pii/S2212628720303844 |
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