ArticleOperative Orthopadie und Traumatologie2024
[Medial closing wedge osteotomy for correction of valgus deformity].
Article in Operative Orthopadie und Traumatologie, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Technical tips and tricks for complex biplanar high tibial osteotomies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Review
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Authors and funding
5 authors.
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Abstract
objectiveCorrection of a proximal tibial valgus deformity. INDICATIONS: Lateral osteoarthritis of the knee or cartilage damage in a valgus deformity > 5° with a medial proximal tibial angle (MPTA) > 90°. CONTRAINDICATIONS: Medial proximal tibial angle < 90°, medial cartilage damage, medial meniscus loss. SURGICAL TECHNIQUE: Skin incision medial of the tibial tuberosity approximately 8-10 cm. Insertion of two converging guidewires directly above the pes anserinus, ascending obliquely, and ending at the tip of the fibula. Control of the wire position with the image intensifier. Osteotomy with an oscillating saw. Removal of the wedge and closure of the osteotomy. Osteosynthesis with a medial angle-stable plate. POSTOPERATIVE MANAGEMENT: Partial load bearing with 10-20 kg for 2 weeks, then step-wise increase in load. Mobility: free.
resultsWe performed this surgery in the manner described in 21 patients with lateral osteoarthritis or cartilage damage (17 men, 4 women, average age: 51 years). The valgus deformity was reduced from an average of 5.6 to -0.5°. The KOOS-PS (Knee Injury and Osteoarthritis Outcome Score-Physical Function Short-form) score decreased significantly from 39.1 ± 14 to 25.8 ± 20 points.
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