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Knee Surg Sports Traumatol Arthrosc. 2005 Jan;13(1):19-22. Epub 2004 Mar 16.

Open-wedge high tibial osteotomy: a technical trick to avoid loss of reduction of the opposite cortex.

Author information

1
Dept of Biomechanics, Medicine and Rehabilitation of the Locomotor Apparatus, Hospital das Clínicas, Ribeirão Preto School of Medicine, University of São Paulo, Av. Bandeirantes 3900, CEP 14048-900, Ribeirão Preto, São Paulo, Brazil. cajpacco@fmrp.usp.br

Abstract

High tibial osteotomies for the treatment of gonarthrosis in young and active patients are well-accepted and frequently performed procedures. Several techniques are described to achieve good axial alignment with enough stability for early motion, but they come along with a considerable number of complications, such as insufficient or excessive axial correction, loss of reduction, delayed union, and pseudoarthrosis. We present a case of early loss of reduction in a medial opening-wedge high tibial osteotomy and a simple technical trick to avoid and treat this potential complication.

PMID:
15024558
DOI:
10.1007/s00167-003-0480-6
[Indexed for MEDLINE]

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