Open-Wedge High Tibial Osteotomy Using a Protective Cutting System: Technical Advancement for the Accuracy of the Osteotomy and Avoiding Intraoperative Complications | Zendy

Yong Seuk Lee | Zendy; Myung Chul Lee | Zendy; Seo Goo Kang | Zendy; Ashraf Elazab | Zendy; Won Seok Oh | Zendy

Open Access

Open-Wedge High Tibial Osteotomy Using a Protective Cutting System: Technical Advancement for the Accuracy of the Osteotomy and Avoiding Intraoperative Complications

Author(s) -

Yong Seuk Lee,

Myung Chul Lee,

Seo Goo Kang,

Ashraf Elazab,

Won Seok Oh

Publication year - 2016

Publication title -

arthroscopy techniques

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.66

H-Index - 31

ISSN - 2212-6287

DOI - 10.1016/j.eats.2015.08.016

Subject(s) - medicine , neurovascular bundle , high tibial osteotomy , osteotomy , surgery , tibial plateau fracture , wedge (geometry) , osteoarthritis , internal fixation , physics , alternative medicine , pathology , optics

Open-wedge high tibial osteotomy for medial unicompartmental arthritis of the knee joint is a successful treatment option but is associated with potential intraoperative complications such as tibial plateau fracture, dislocation of the osteotomy hinge, under- or over-correction of the posterior slope, and neurovascular injury. Therefore we devised a protective cutting system and describe our method for the prevention of these complications. The potential advantages of this system are protection of the posterior neurovascular structures using a curved protector, bone cutting along the natural tibial slope using a superior surface aligning with the natural tibial slope, and complete 1-plane sawing of the posterior wall before the lateral hinge.

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