Realignment of the hip knee and ankle can be achieved by extra-articular osteotomy if there is no intra-articular deformity or incongruity. Intra-articular osteotomy of the femoral head, femoral condyles, tibial plateaus and tibial plafond can all be achieved technically and biologically and lead to a congruous joint. This is a new frontier for realignment surgery extending the indications for ...

J Bone Joint Surg [Br] 2008;90-B:1548-57. New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixa...

The use of standing radiographs to determine correction angles for high tibial osteotomy is not appropriate because the relative angle of the articular surfaces (condylar-plateau angle) in the weight-bearing knee changes after the osteotomy. This may give unpredictable results postoperatively. We found that the condylar-plateau angle in postoperative standing films is very similar to that seen ...

BACKGROUND Tibial Tubercle Osteotomy has shown much promise in revision total knee replacement. Methods of repair previously described include screw and wire fixation. Both methods have significant complications. METHODS This article describes suture fixation of the osteotomy using Ethibond sutures placed medially with a lateral periosteal hinge. RESULTS This method of fixation relies upon ...

OBJECTIVE To investigate arterial vascularity at the level of the proximal tibia as a potential source of the severe intra-operative haemorrhage, which has been previously reported as a complication during tibial plateau levelling osteotomy (TPLO) and triple tibial osteotomy (TTO) surgeries in dogs. To devise a surgical approach for the management of this complication. METHOD Eight pelvic lim...

OBJECTIVES To evaluate the ability of an alignment jig/saw guide to reproduce appropriate osteotomy positions in the tibial plateau leveling osteotomy (TPLO) in the dog. METHODS Lateral radiographs of 65 clinical TPLO procedures using an alignment jig and freehand osteotomy performed by experienced TPLO surgeons using a 24 mm radial saw blade between Dec 2005-Dec 2007 and Nov 2013-Nov 2015 we...

Chondral lesions of the knee can occur secondary to limb malalignment. To address these interrelated problems, a high tibial osteotomy with concomitant osteochondral allograft transfer may be performed. It is important to address these chondral lesions as they often affect the young and active population and cause morbidity in an otherwise healthy population. Although numerous approaches for th...

BACKGROUND Cranial cruciate ligament insufficiency is a common orthopaedic problem in canine patients. This cadaveric and radiographic study was performed with the aim of determining the effect of proximal translation of the tibial tuberosity during tibial tuberosity advancement (TTA) on patellar position (PP) and patellar ligament angle (PLA). RESULTS Disarticulated left hind limb specimens ...