Minimally Invasive High Tibial Osteotomy Using a Patient-Specific Cutting Guide.
Journal
Arthroscopy techniques
ISSN: 2212-6287
Titre abrégé: Arthrosc Tech
Pays: Netherlands
ID NLM: 101597442
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
received:
10
08
2020
accepted:
18
10
2020
entrez:
8
3
2021
pubmed:
9
3
2021
medline:
9
3
2021
Statut:
epublish
Résumé
Medial opening wedge high tibial osteotomy (OW-HTO) is an excellent surgical option for patients with varus knee osteoarthritis. This article presents a technique of performing a minimally invasive OW-HTO using a patient-specific cutting guide (PSCG). Preoperative 3-dimensional planning with computed tomography imaging is essential. The correction parameters, the final plate position, as well as the 3-dimensional position of the hinge as well as wedge are verified preoperatively before the PSCG is produced. After exposure with an oblique incision over the posteromedial tibia, the hamstring tendons are released for later re-attachment and the medial collateral ligament is released slightly. The PSCG is then used to perform the OW-HTO with protection of the posterior neurovascular structures by a retractor placed posterior to the medial collateral ligament. The final fixation of the osteotomy is achieved with a low-profile locking plate and a femoral head allograft wedge.
Identifiants
pubmed: 33680776
doi: 10.1016/j.eats.2020.10.029
pii: S2212-6287(20)30310-8
pmc: PMC7917192
doi:
Types de publication
Journal Article
Langues
eng
Pagination
e431-e435Informations de copyright
© 2020 by the Arthroscopy Association of North America. Published by Elsevier.
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