Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration

Monllau García, Juan Carlos; Erquicia, Juan Ignacio; Ibañez, Federico; Ibañez, Maximiliano; Gelber, Pablo-Eduardo; Masferrer-Pino, Àngel; Pelfort López, Javier

doi:http://dx.doi.org/10.1016/j.eats.2017.08.009

Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration

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Citation

Monllau JC, Erquicia JI, Ibañez F, Ibañez M, Gelber PE, Masferrer-Pino A. et al. Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration. Arthrosc Tech. 2017 Nov 13;6(6):e2161-e2167. DOI: 10.1016/j.eats.2017.08.009

Abstract

High tibial osteotomy (HTO) is a useful alternative in the treatment of symptomatic varus malalignment. However, among its drawbacks is the tendency to decrease patellar height and increase the posterior tibial slope. The increased tibial slope increases anterior cruciate ligament tension and may compromise its function. On the other hand, patella baja often causes anterior knee pain and, over time, may favor degeneration of the patellofemoral joint. The aim of this study is to describe a technical modification of the standard open-wedge HTO. It consists of a double inverted L-shaped cut, which includes the anterior tibial tuberosity in the proximal fragment, to avoid any alteration of patellar height and control the eventual increase of the posterior tibial slope.