ArticleInternational orthopaedics2020
The effect of open-wedge and closed-wedge high tibial osteotomies on the tibial posterior slope-a study of two hundred seventy-nine cases.
Article in International orthopaedics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Early results of high tibial osteotomy versus combined arthroscopic surgery.Frontiers in surgery · 2024Article
- A new technique of autologous bone grafting for open-wedge high tibial osteotomy.Frontiers in surgery · 2024Article
- Early surgical outcomes and influencing factors of high tibial osteotomy.Frontiers in surgery · 2023Article
- High tibial lateral closing wedge and opening wedge valgus osteotomy produce different effects on posterior tibial slope and patellar height.Frontiers in surgery · 2023Article
- Patellofemoral Joint after Opening Wedge High Tibial Osteotomy: A Comparative Study of Uniplane versus Biplane Osteotomies.Orthopaedic surgery · 2022Article
- Custom-Made Devices Represent a Promising Tool to Increase Correction Accuracy of High Tibial Osteotomy: A Systematic Review of the Literature and Presentation of Pilot Cases with a New 3D-Printed System.Journal of clinical medicine · 2022Review
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThere are two established techniques for high tibial valgisation osteotomy (HTO): medial open wedge (MOW) and lateral closed wedge (LCW). The aim was to analyze the change of the posterior tibial slope (PTS) caused by HTOs dependent on the technique.
methodsFour hundred fourteen cases of HTOs were analyzed retrospectively. Two hundred seventy-nine osteotomies in 247 patients matched the inclusion criteria and were divided into two treatment groups (MOW/LCW). The PTS was determined on pre- and post-surgical lateral knee X-rays by measuring the proximal posterior tibial angle (PPTA).
resultsOne hundred ninety of the included 279 cases were assigned to the MOW and 89 to the LCW group. The mean PPTA in MOW HTOs was 79.9° ± 32° (68-88°) and in LCW HTOs 80.6° ± 2.6° (74-88°). There was no statistically significant change of the PPTA in the MOW group comparing the pre- and post-surgical values (delta PPTA 0.07° ±2.9° (- 12 to 11°)). In the LCW group, the surgery resulted in a statistically significant reduction (p< 0.001) of the PTS (delta PPTA - 3.09° ± 4.5° (- 12 to 5°)).
conclusionThe important finding of this study is that the thesis of a slope increase in MOW osteotomies found in the literature could not be approved regarding our results as no statistically significant change of PTS in MOW HTOs was observed. The findings support the common thesis that LCW osteotomies cause a slope reduction.
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