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

doi:10.1016/j.eats.2017.08.009

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 journal › Article › Research › peer-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 language	English
Pages (from-to)	e2161-e2167
Journal	Arthroscopy Techniques
Volume	6
Issue number	6
DOIs	https://doi.org/10.1016/j.eats.2017.08.009
Publication status	Published - 1 Dec 2017

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@article{467f176147244cc6b795426e6d323cb4,

title = "Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration",

abstract = "{\textcopyright} 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.",

author = "Monllau, {Juan C.} and Erquicia, {Juan I.} and Federico Iba{\~n}ez and Maximiliano Iba{\~n}ez and Gelber, {Pablo E.} and Angel Masferrer-Pino and Xavier Pelfort",

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doi = "10.1016/j.eats.2017.08.009",

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Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration. / Monllau, Juan C.; Erquicia, Juan I.; Ibañez, Federico; Ibañez, Maximiliano; Gelber, Pablo E.; Masferrer-Pino, Angel; Pelfort, Xavier.

In: Arthroscopy Techniques, Vol. 6, No. 6, 01.12.2017, p. e2161-e2167.

Research output: Contribution to journal › Article › Research › peer-review

TY - JOUR

T1 - Open-Wedge Valgus High Tibial Osteotomy Technique With Inverted L-Shaped Configuration

AU - Monllau, Juan C.

AU - Erquicia, Juan I.

AU - Ibañez, Federico

AU - Ibañez, Maximiliano

AU - Gelber, Pablo E.

AU - Masferrer-Pino, Angel

AU - Pelfort, Xavier

PY - 2017/12/1

Y1 - 2017/12/1

N2 - © 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.

AB - © 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.

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DO - 10.1016/j.eats.2017.08.009

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