A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures
High tibial valgus osteotomy (HTO) is an established treatment for medial-compartment osteoarthritis of the knee. We have combined medial open and lateral closed-wedge HTO (hybrid closed-wedge HTO) to overcome the limitations of traditional closed-wedge HTO. Our new hybrid procedure has the followin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2014-08-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628714000358 |
| _version_ | 1819098012679405568 |
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| author | Ryohei Takeuchi, M.D. Hiroyuki Ishikawa, M.D. Yasuyuki Miyasaka, M.D. Yohei Sasaki, M.D. Takashi Kuniya, M.D. So Tsukahara, M.D. |
| author_facet | Ryohei Takeuchi, M.D. Hiroyuki Ishikawa, M.D. Yasuyuki Miyasaka, M.D. Yohei Sasaki, M.D. Takashi Kuniya, M.D. So Tsukahara, M.D. |
| author_sort | Ryohei Takeuchi, M.D. |
| collection | DOAJ |
| description | High tibial valgus osteotomy (HTO) is an established treatment for medial-compartment osteoarthritis of the knee. We have combined medial open and lateral closed-wedge HTO (hybrid closed-wedge HTO) to overcome the limitations of traditional closed-wedge HTO. Our new hybrid procedure has the following advantages: (1) the bone block removed is smaller in size; (2) the procedure yields optimal geometric characteristics for bone healing; (3) there is no step-off at the lateral osteotomy site; (4) the lateral cortex of the proximal and distal fragments is attached firmly by the oblique osteotomy; and (5) early full weight-bearing walking is possible. This procedure is effective in treating medial-compartment osteoarthritis accompanied by patellofemoral osteoarthritis. The indications for this procedure include a willingness and ability to comply with the postoperative rehabilitation program; a diagnosis of either medial-compartment osteoarthritis or complicated patellofemoral osteoarthritis; and preferably, an age of 70 years or younger, although this is not a strict constraint. Patients are permitted to stand using both legs on the day after surgery and walk with full weight bearing within 2 weeks of undergoing our novel HTO procedure. We describe the details of this surgical technique and the postoperative rehabilitation program for the patients who undergo this treatment. |
| first_indexed | 2024-12-22T00:24:13Z |
| format | Article |
| id | doaj.art-4e3b2281b16e4477aa7f39f0cda60180 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T00:24:13Z |
| publishDate | 2014-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-4e3b2281b16e4477aa7f39f0cda601802022-12-21T18:45:06ZengElsevierArthroscopy Techniques2212-62872014-08-0134e431e437A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation MeasuresRyohei Takeuchi, M.D.0Hiroyuki Ishikawa, M.D.1Yasuyuki Miyasaka, M.D.2Yohei Sasaki, M.D.3Takashi Kuniya, M.D.4So Tsukahara, M.D.5Department of Joint Surgery Center, Yokosuka Municipal Hospital, Yokosuka, Japan; Address correspondence to Ryohei Takeuchi, M.D., Department of Joint Surgery Center, Yokosuka Municipal Hospital, 2-3-1 Nagasaka, Yokosuka City, Kanagawa, 240-0195, Japan.Department of Joint Surgery Center, Yokosuka Municipal Hospital, Yokosuka, JapanDepartment of Joint Surgery Center, Yokosuka Municipal Hospital, Yokosuka, JapanDepartment of Joint Surgery Center, Yokosuka Municipal Hospital, Yokosuka, JapanDepartment of Joint Surgery Center, Yokosuka Municipal Hospital, Yokosuka, JapanDepartment of Orthopaedic Surgery, Shyonan Daiichi Hospital, Fujisawa, JapanHigh tibial valgus osteotomy (HTO) is an established treatment for medial-compartment osteoarthritis of the knee. We have combined medial open and lateral closed-wedge HTO (hybrid closed-wedge HTO) to overcome the limitations of traditional closed-wedge HTO. Our new hybrid procedure has the following advantages: (1) the bone block removed is smaller in size; (2) the procedure yields optimal geometric characteristics for bone healing; (3) there is no step-off at the lateral osteotomy site; (4) the lateral cortex of the proximal and distal fragments is attached firmly by the oblique osteotomy; and (5) early full weight-bearing walking is possible. This procedure is effective in treating medial-compartment osteoarthritis accompanied by patellofemoral osteoarthritis. The indications for this procedure include a willingness and ability to comply with the postoperative rehabilitation program; a diagnosis of either medial-compartment osteoarthritis or complicated patellofemoral osteoarthritis; and preferably, an age of 70 years or younger, although this is not a strict constraint. Patients are permitted to stand using both legs on the day after surgery and walk with full weight bearing within 2 weeks of undergoing our novel HTO procedure. We describe the details of this surgical technique and the postoperative rehabilitation program for the patients who undergo this treatment.http://www.sciencedirect.com/science/article/pii/S2212628714000358 |
| spellingShingle | Ryohei Takeuchi, M.D. Hiroyuki Ishikawa, M.D. Yasuyuki Miyasaka, M.D. Yohei Sasaki, M.D. Takashi Kuniya, M.D. So Tsukahara, M.D. A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures Arthroscopy Techniques |
| title | A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures |
| title_full | A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures |
| title_fullStr | A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures |
| title_full_unstemmed | A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures |
| title_short | A Novel Closed-Wedge High Tibial Osteotomy Procedure to Treat Osteoarthritis of the Knee: Hybrid Technique and Rehabilitation Measures |
| title_sort | novel closed wedge high tibial osteotomy procedure to treat osteoarthritis of the knee hybrid technique and rehabilitation measures |
| url | http://www.sciencedirect.com/science/article/pii/S2212628714000358 |
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