Many of the surgical techniques currently used in the management of hal!ux valgus result in shortening of the first metatarsal. Although this is usually of little significance, if recurrence of the deformity demands further surgical correction, this may produce unacceptable shortening ; the first metatarsal head may no longer be capable of transmitting weight, which may lead to metatarsalgia or...

BACKGROUND This study examined the results of open wedge high tibial osteotomy with using an Aescula open wedge plate and an allogenic bone graft as a surgical technique for the patients who suffer from osteoarthritis of the knee with a genu varum deformity. METHODS From March 2007 to August 2007, 33 patients (37 cases) with osteoarthritis of the knee and a genu varum deformity underwent a hi...

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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...

PURPOSE To compare treatment outcomes after closing wedge osteotomy and plate fixation for cubitus varus deformity undertaken with or without medialisation of the distal fragment. METHODS Records of 21 men and 16 women aged 20 to 34 years who underwent closing wedge osteotomy and plate fixation for cubitus varus deformity with (n=21) or without (n=16) medialisation of the distal fragment were...

PURPOSE To evaluate the outcomes and complications in a series of children with clinodactyly treated with opening wedge osteotomy of the abnormal phalanx. METHODS We performed a retrospective review of all children with clinodactyly treated at our institution with opening wedge osteotomy of the abnormal middle phalanx between 2003 and 2013. Patients with concomitant pathology or prior surgery...

PURPOSE To review outcomes of open wedge osteotomy of the proximal medial tibia for malunited tibial plateau fractures. METHODS Seven men (mean age, 36 years) underwent open wedge osteotomy of the proximal medial tibia for instability secondary to malunited tibial plateau fractures of Schatzker types IV (n=3), V (n=1), and VI (n=3). Five patients had been treated conservatively and 2 surgical...

For genu recurvatum deformity after tibial fracture, precise correction osteotomy is necessary to acquire a good clinical outcome. No report on genu recurvatum has evaluated precise preoperative planning with image-processing software for three-dimensional (3D) design and modeling. We herein report a case of osseous genu recurvatum treated by anterior opening wedge osteotomy according to precis...