Comparative analysis of osteotomy accuracy between the conventional and devised technique using a protective cutting system in medial open-wedge high tibial osteotomy

Lee, Yong Seuk; Moon, Gi Ho

doi:10.1007/s00776-014-0663-7

Cited by 33 publications

(32 citation statements)

References 21 publications

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“…To correct such deviations, a valgus stress can be applied during pre-operative anteroposterior full-length lower limb radiography13). In this study, the cable group had a high ratio of undercorrection, whereas Lee and Moon26) reported the cable method may result in rather overcorrected alignment because the MCL is measured in a state of relaxation. In the current study, axial pressure was applied to the foot sole for simulating the weight bearing state during operation performed using the cable method.…”

Section: Discussionmentioning

confidence: 90%

Comparison of Cable Method and Miniaci Method Using Picture Archiving and Communication System in Preoperative Planning for Open Wedge High Tibial Osteotomy

Yoon

Kim

Lee

et al. 2016

Knee Surg Relat Res

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PurposeThe purpose was to compare the accuracy of Miniaci method using picture archiving and communication system (PACS) with a cable method in high tibial osteotomy (HTO).Materials and MethodsThis study analyzed 47 patients (52 knees) with varus deformity and medial osteoarthritis. From 2007 to 2013, patients underwent HTO using either a cable method (20 knees) or Miniaci method based on a PACS image (32 knees). In the cable method, the 62.5% point of the mediolateral tibial plateau width was located using an electrocautery cord under fluoroscopy (cable group). The Miniaci method used preoperative radiographs to shift the weight bearing axis (PACS group). Full-length lower limb radiographs obtained preoperatively and at the sixth postoperative week were used to compare the percentage of crossing point of the weight bearing line on the tibial plateau with respect to the medial border.ResultsThe weight bearing line on the tibial plateau was corrected from a preoperative 11.0±7.0% to a postoperative 47.2±7.4% in the cable group and from 12.7±4.9% to 59.5±5.3% in the PACS group. The mechanical femorotibial angle was corrected from varus 8.9±3.7° to valgus 0.3±4.0° in the cable group and from varus 9.0±3.3° to valgus 2.9±2.6° in the PACS group.ConclusionsIn HTO, correction based on the Miniaci method using a PACS was more accurate than correction using the cable method.

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Section: Discussionmentioning

confidence: 90%

Comparison of Cable Method and Miniaci Method Using Picture Archiving and Communication System in Preoperative Planning for Open Wedge High Tibial Osteotomy

Yoon

Kim

Lee

et al. 2016

Knee Surg Relat Res

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“…Biplanar osteotomy was performed and distraction was performed at most posterior gap ( Fig. 2 ) 25) .…”

Section: Methodsmentioning

confidence: 99%

Disparity between Preoperative Target Correction Amount and Postoperative Correction Amount in Open Wedge High Tibial Osteotomy

Lee

2019

Knee Surg Relat Res

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“…But the most important consideration is the protection of the posterior neurovascular structures, primarily the tibial nerve, which runs deep to the gastrocnemius and closer to the posterior aspect of the tibia. Lee et al described a curved device to protect the posterior neurovascular structures from the saw during conventional open wedge HTO . Applying a similar tapered, curved design to the jet absorber, and with the aid of a blunt dissection tool for its insertion, could potentially reduce the magnitude of soft tissue trauma and the risk of neurovascular injury.…”

Section: Discussionmentioning

confidence: 99%

Robotic guided waterjet cutting technique for high tibial dome osteotomy: A pilot study

Suero

Westphal

Zaremba

et al. 2017

Robotics Computer Surgery

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Comparative analysis of osteotomy accuracy between the conventional and devised technique using a protective cutting system in medial open-wedge high tibial osteotomy

Cited by 33 publications

References 21 publications

Comparison of Cable Method and Miniaci Method Using Picture Archiving and Communication System in Preoperative Planning for Open Wedge High Tibial Osteotomy

Comparison of Cable Method and Miniaci Method Using Picture Archiving and Communication System in Preoperative Planning for Open Wedge High Tibial Osteotomy

Disparity between Preoperative Target Correction Amount and Postoperative Correction Amount in Open Wedge High Tibial Osteotomy

Robotic guided waterjet cutting technique for high tibial dome osteotomy: A pilot study

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