ArticleOrthopaedic journal of sports medicine2022
High Rate of Radiographic Union at the Fibular Osteotomy Site With No Complications After an Acute Oblique Osteotomy and Ligation Procedure to Shorten the Fibula in High Tibial Osteotomy.
Article in Orthopaedic journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Pullout repair combined with double-plate fixation via inverted V-shaped high tibial osteotomy for medial meniscus posterior root tears with severe varus tibial deformity.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2026Article
- Complication Rates and Clinical Outcomes of Larger Alignment Corrections Using Inverted V-shaped High Tibial Osteotomy in Severe Varus Knee Osteoarthritis: A Comparison with Smaller Corrections.Orthopaedic journal of sports medicine · 2026Article
- Auxiliary medial small locking plate fixation enhances bone healing and minimizes delayed union in inverted V-shaped high tibial osteotomy: A comparative study of 154 knees.Journal of experimental orthopaedics · 2026Article
- Low complication and high bone union rates following acute oblique fibular osteotomy with suture ligation prior to closing wedge high tibial osteotomy: A multicenter study of 231 cases.Journal of experimental orthopaedics · 2026Article
- Postoperative Joint Line Convergence Angle (JLCA) following high tibial osteotomy is affected not only by preoperative JLCA but also by postoperative hip-knee-ankle angle.Journal of experimental orthopaedics · 2026Article
- Early Completion of Radiographic Bone Union With Rare Complications After Inverted V-Shaped High Tibial Osteotomy Fixed With a Locking Compression Plate.Orthopaedic journal of sports medicine · 2025Article
- Quantitative Technique to Precisely Fix the Tibia With a Locking Compression Plate at the Preoperatively Planned Correction Angle While Applying High Compression to the Osteotomy Site in Inverted V-Shaped High Tibial Osteotomy.Arthroscopy techniques · 2025Article
- Hybrid closing-wedge DTO using PSI was selected for a patient wit severe deformity post-fracture malunion, which enable good alignment correction and patient satisfaction.Journal of orthopaedic surgery and research · 2024Article
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Authors and funding
9 authors.
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Abstract
Background: A fibular shortening osteotomy is needed to perform lateral closing-wedge high tibial osteotomy (LCW-HTO). To achieve this shortening, we have recently developed an acute oblique osteotomy and ligation (AO/L) procedure for the center of the fibular shaft, based on the AO procedure. Purpose: To compare the 2-year follow-up outcomes between the AO/L procedure and the AO procedure. Study Design: Cohort study; Level of evidence, 2. Methods: A prospective comparative cohort study was conducted involving 83 patients (83 knees) who underwent shortening osteotomy of the fibula in LCW-HTO between April 2017 and March 2019. The first consecutive 41 knees (AO group) underwent fibular osteotomy with the AO procedure. The remaining 42 knees (AO/L group) underwent fibular osteotomy with the AO/L procedure. All of the patients were evaluated for at least 2 years postoperatively via clinical and radiological assessments. To determine the time needed for complete union at the osteotomy site, we evaluated the radiographs using a radiographic union score for tibial fractures, which was modified for fibular osteotomy. Comparison of outcomes between the 2 groups was performed using the Student Results: Around the fibular osteotomy site, no perioperative complications were found in either group. The radiographic union score was significantly higher in the AO/L group than in the AO group ( Conclusion: The AO/L procedure significantly accelerated the formation of bridging callus at the fibular osteotomy site and provided a significantly higher union rate compared with the AO procedure. Both AO/L and AO procedures were free from perioperative complications. These results suggest that the AO/L procedure is clinically useful as an osteotomy procedure to shorten the fibula in LCW-HTO.
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