Editorial Commentary: Increase in Posterior Slope in High Tibial Osteotomy Is Preventable

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Is it possible to avoid posterior tibial slope increase in open-wedge high tibial osteotomy?

This open-access article is published and distributed under the Creative Commons Attribution NonCommercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article witho...

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Posterior tibial slope in medial opening-wedge high tibial osteotomy: 2-D versus 3-D navigation.

Although opening-wedge high tibial osteotomy (HTO) is used to correct deformities, it can simultaneously alter tibial slope in the sagittal plane because of the triangular configuration of the proximal tibia, and this undesired change in tibial slope can influence knee kinematics, stability, and joint contact pressure. Therefore, medial opening-wedge HTO is a technically demanding procedure des...

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Effect of Wedge Insertion Angle on Posterior Tibial Slope in Medial Opening Wedge High Tibial Osteotomy

BACKGROUND Medial opening wedge high tibial osteotomy (HTO) is a well-established surgery for medial compartment knee osteoarthritis (OA) wherein the lower extremity is realigned to shift the load distribution from the medial compartment of the knee to the lateral compartment. However, this surgery is known to affect the posterior tibial slope angle (PTSA), which could lead to abnormal knee kin...

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Anterior opening wedge high tibial osteotomy: the effect of increasing posterior tibial slope on ligament strain.

BACKGROUND Although a previous study showed that anterior opening wedge high tibial osteotomy (HTO) for sagittal plane correction induced no increased strain in the anterior cruciate ligament (ACL), we hypothesized that other ligamentous restraints of the knee may be subjected to increased strain. METHODS We mounted 6 cadaveric knees at 15 degrees flexion in a testing apparatus that provided ...

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The effect of high tibial osteotomy on the posterior tibial slope.

INTRODUCTION High tibial osteotomy remains a useful procedure for delaying total knee arthroplasty for young patients with unicompartimental medial osteoarthritis of the knee. The tibial posterior slope is essential for both ligament function and knee kinematics. Even though many articles were published in the literature, the long term influence of open wedge high tibial osteotomy on the poster...

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ژورنال

عنوان ژورنال: Arthroscopy: The Journal of Arthroscopic & Related Surgery

سال: 2016

ISSN: 0749-8063

DOI: 10.1016/j.arthro.2015.12.007