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

Juan C. Monllau, Juan I. Erquicia, Federico Ibañez, Maximiliano Ibañez, Pablo E. Gelber, Angel Masferrer-Pino, Xavier Pelfort

    Research output: Contribution to journalArticleResearchpeer-review

    3 Citations (Scopus)

    Abstract

    © 2017 Arthroscopy Association of North America 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.
    Original languageEnglish
    Pages (from-to)e2161-e2167
    JournalArthroscopy Techniques
    Volume6
    Issue number6
    DOIs
    Publication statusPublished - 1 Dec 2017

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