ArticleInternational orthopaedics2019
Medial open wedge vs. lateral closed wedge high tibial osteotomy - Indications based on the findings of patellar height, leg length, torsional correction and clinical outcome in one hundred cases.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Is Patient-Specific Instrumentation Accurate and Necessary for Open-Wedge High Tibial Osteotomy? A Meta-Analysis.Orthopaedic surgery · 2023Pooled it
- [Modified pendulum osteotomy to correct severe tibial varus deformity].Operative Orthopadie und Traumatologie · 2024Article
- Infratubercle Anterior Closing Wedge Osteotomy Corrects Sagittal Alignment without Affecting Coronal Alignment or Patellar Height.Journal of clinical medicine · 2024Article
- No benefits of knee osteotomy patient's specific instrumentation in experienced surgeon hands.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Double level knee osteotomy using patient-specific cutting guides is accurate and provides satisfactory clinical results: a prospective analysis of a cohort of twenty-two continuous patients.International orthopaedics · 2022Observational
- [Comparison of two osteotomies in the treatment of medial compartment osteoarthritis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Clinical course and outcomes of simultaneous-versus staged-bilateral medial opening wedge high tibial osteotomy.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2021Article
- Relationship between the bony correction angle and mechanical axis change and their differences between closed and open wedge high tibial osteotomy.BMC musculoskeletal disorders · 2020Article
- Medial opening wedge high tibial osteotomy: more than ten years of experience with Puddu plate technique supports its indication.International orthopaedics · 2020Article
- The effect of open-wedge and closed-wedge high tibial osteotomies on the tibial posterior slope-a study of two hundred seventy-nine cases.International orthopaedics · 2020Article
- Safety of simultaneous versus staged bilateral opening-wedge high tibial osteotomy with locked plate and immediate weight bearing.International orthopaedics · 2020Observational
- Patient-specific cutting guides for open-wedge high tibial osteotomy: safety and accuracy analysis of a hundred patients continuous cohort.International orthopaedics · 2019Article
- Deep peroneal nerve injury during plate fixation for medial open-wedge high tibial osteotomy: A case report and cadaveric study.Clinical case reports · 2019Article
- Biplane opening wedge high tibial osteotomy with a distal tuberosity osteotomy, radiological and clinical analysis with minimum follow-up of 2 years.Journal of experimental orthopaedics · 2019Article
- Medial Open-wedge Osteotomy with Double-plate Fixation for Varus Malunion of the Distal Femur.Orthopaedic surgery · 2019Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionMedial open wedge (MOW) and lateral closed wedge (LCW) osteotomies are established methods to treat medial gonarthritis. Advantages and differences in the outcome of the two techniques have been discussed controversially and there is still no precise recommendation for either technique. We now aimed to assess the effect of each technique on tibial slope (TS), patella height (PH) and leg length discrepancy.
methodIn a study of 50 consecutive cases of MOW and 50 of LCW osteotomies were registered. The decision for either technique was made pre-operatively according to an algorithm. Demographic data, operation procedures (time of operation, correction angle, torsional correction) and measurement of patellar height, tibial slope, leg length discrepancy, clinical outcome after one year and bone and wound healing were obtained. Pre- and post-operative values were compared between the two groups.
resultsIn absence of randomization demographic data demonstrate comparability of the two groups. No difference in bone and wound healing, time of operation and clinical outcome was seen. In the MOW group PH decreased significantly, no relevant alteration of PH was detected in the LCW group. In the latter group a statistically significant decrease of TS compared to a slightly decrease in the MOW group was recorded post-operatively. A significant leg lengthening with the MOW and shortening of the leg with the LCW method can be achieved. DISCUSSION: With respect to similar results in operating procedures, bone and wound healing and clinical outcome decision making factors for either technique should be leg length discrepancy and torsional deformities. Changes of PH and TS have to be known and may influence the technique of osteotomy in cases of patella infera / alta or borderline PH.
conclusionAn algorithm for valgus high tibial osteotomies based on TS, PH and leg length discrepancy may be proposed.
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