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Anterolateral Biplanar Proximal Tibial Opening-Wedge Osteotomy
Author(s) -
Chase S. Dean,
Jorge Chahla,
Samuel G. Moulton,
Marco Nitri,
Raphael Serra Cruz,
Robert F. LaPrade
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.2016.02.015
Subject(s) - medicine , valgus , osteotomy , high tibial osteotomy , heel , sagittal plane , coronal plane , surgery , tibia , orthodontics , anatomy , osteoarthritis , alternative medicine , pathology
Proximal tibial anterolateral opening-wedge osteotomies have been reported to achieve successful biplanar lower-extremity realignment. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittal-plane tibial slope. The biplanar approach is able to simultaneously address both components of a patient's malalignment with a single procedure. The correction amount is verified with spacers and intraoperative imaging, while correction of the patient's heel height is simultaneously measured. A plate is secured into the osteotomy site, and the site is filled with bone allograft. The anterolateral tibial osteotomy has been reported to be an effective surgical procedure for correcting concomitant genu recurvatum and genu valgus malalignment.

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