Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity
A hemi–closing-wedge and hemi–opening-wedge, inverted V–shaped high tibial osteotomy with local bone graft has been reported to be an effective surgical procedure for medial osteoarthritis of the knee. In this procedure, an inverted V–shaped osteotomy is made and a thin wedged bone block is resected...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2018-10-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628718301002 |
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| author | Eiji Kondo, M.D., Ph.D. Kazunori Yasuda, M.D., Ph.D. Koji Yabuuchi, M.D. Yoshimitsu Aoki, M.D., Ph.D. Masayuki Inoue, M.D., Ph.D. Norimasa Iwasaki, M.D., Ph.D. Tomonori Yagi, M.D., Ph.D. |
| author_facet | Eiji Kondo, M.D., Ph.D. Kazunori Yasuda, M.D., Ph.D. Koji Yabuuchi, M.D. Yoshimitsu Aoki, M.D., Ph.D. Masayuki Inoue, M.D., Ph.D. Norimasa Iwasaki, M.D., Ph.D. Tomonori Yagi, M.D., Ph.D. |
| author_sort | Eiji Kondo, M.D., Ph.D. |
| collection | DOAJ |
| description | A hemi–closing-wedge and hemi–opening-wedge, inverted V–shaped high tibial osteotomy with local bone graft has been reported to be an effective surgical procedure for medial osteoarthritis of the knee. In this procedure, an inverted V–shaped osteotomy is made and a thin wedged bone block is resected from the lateral side and implanted in the medial opening space created after valgus correction. This procedure can provide sufficient valgus correction of the knee with severe varus deformity more easily than can closing-wedge high tibial osteotomy. The inverted V–shaped osteotomy does not change the posterior tibial slope, the patellar height, or the length of the lower limb at all because the center of tibial alignment correction by the inverted V–shaped osteotomy is located near the center of rotation of angulation of the lower-limb deformity. We recently modified this procedure by performing biplanar osteotomy, developing useful cutting guides, and fixing the tibia with a lateral locking compression plate. The surgical technique is described to enable the reproducible creation of the hemi–closing-wedge and hemi–opening-wedge, inverted V–shaped osteotomy with the locking plate for medial osteoarthritic knees with moderate or severe varus deformity. |
| first_indexed | 2024-12-22T00:32:22Z |
| format | Article |
| id | doaj.art-b6201dd6040e4d1ca0b70d53c4c73edb |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-22T00:32:22Z |
| publishDate | 2018-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-b6201dd6040e4d1ca0b70d53c4c73edb2022-12-21T18:44:54ZengElsevierArthroscopy Techniques2212-62872018-10-01710e999e1012Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus DeformityEiji Kondo, M.D., Ph.D.0Kazunori Yasuda, M.D., Ph.D.1Koji Yabuuchi, M.D.2Yoshimitsu Aoki, M.D., Ph.D.3Masayuki Inoue, M.D., Ph.D.4Norimasa Iwasaki, M.D., Ph.D.5Tomonori Yagi, M.D., Ph.D.6Department of Advanced Therapeutic Research for Sports Medicine, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Japan; Department of Orthopaedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, Japan; Address correspondence to Eiji Kondo, M.D., Ph.D., Department of Advanced Therapeutic Research for Sports Medicine, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Kita-15 Nishi-7, Kita-ku, Sapporo 060-8638, Japan.Knee Research Center, Yagi Orthopaedic Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, JapanDepartment of Orthopaedic Surgery, Hokushin Orthopaedic Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, NTT East Japan Sapporo Hospital, Sapporo, JapanDepartment of Orthopaedic Surgery, Faculty of Medicine, Graduate School of Medicine, Hokkaido University, Sapporo, JapanKnee Research Center, Yagi Orthopaedic Hospital, Sapporo, JapanA hemi–closing-wedge and hemi–opening-wedge, inverted V–shaped high tibial osteotomy with local bone graft has been reported to be an effective surgical procedure for medial osteoarthritis of the knee. In this procedure, an inverted V–shaped osteotomy is made and a thin wedged bone block is resected from the lateral side and implanted in the medial opening space created after valgus correction. This procedure can provide sufficient valgus correction of the knee with severe varus deformity more easily than can closing-wedge high tibial osteotomy. The inverted V–shaped osteotomy does not change the posterior tibial slope, the patellar height, or the length of the lower limb at all because the center of tibial alignment correction by the inverted V–shaped osteotomy is located near the center of rotation of angulation of the lower-limb deformity. We recently modified this procedure by performing biplanar osteotomy, developing useful cutting guides, and fixing the tibia with a lateral locking compression plate. The surgical technique is described to enable the reproducible creation of the hemi–closing-wedge and hemi–opening-wedge, inverted V–shaped osteotomy with the locking plate for medial osteoarthritic knees with moderate or severe varus deformity.http://www.sciencedirect.com/science/article/pii/S2212628718301002 |
| spellingShingle | Eiji Kondo, M.D., Ph.D. Kazunori Yasuda, M.D., Ph.D. Koji Yabuuchi, M.D. Yoshimitsu Aoki, M.D., Ph.D. Masayuki Inoue, M.D., Ph.D. Norimasa Iwasaki, M.D., Ph.D. Tomonori Yagi, M.D., Ph.D. Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity Arthroscopy Techniques |
| title | Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity |
| title_full | Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity |
| title_fullStr | Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity |
| title_full_unstemmed | Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity |
| title_short | Inverted V–Shaped High Tibial Osteotomy for Medial Osteoarthritic Knees With Severe Varus Deformity |
| title_sort | inverted v shaped high tibial osteotomy for medial osteoarthritic knees with severe varus deformity |
| url | http://www.sciencedirect.com/science/article/pii/S2212628718301002 |
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