Die Fraktur der Gegenkortikalis bei der aufklappenden Osteotomie des Tibiakopfes

Schröter, Steffen; Ateschrang, Atesch; Ihle, Christoph; Stöckle, Ulrich; Konstantinidis, Lukas; Döbele, Stefan

doi:10.1007/s00132-014-3026-3

Cited by 10 publications

(2 citation statements)

References 27 publications

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“…The rule of thumb is to target the proximal third of the fibular head obliquely, proximally and laterally with the first Kirschner wire used as a template, starting from the concavity of the medial tibial metaphysis. It must be noted that the height of the fibular head is variable and does not always end at about 1 cm below the tibial joint line [26].…”

Section: Intra‐operative Complicationsmentioning

confidence: 99%

A systematic approach to managing complications after proximal tibial osteotomies of the knee

Valcarenghi,

Vittone,

Mouton

et al. 2023

J. exp. orthop.

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Proximal tibial osteotomy (PTO) is an effective procedure for active and young adult patients with symptomatic unicompartmental osteoarthritis and malalignment. They were considered technically demanding and prone to various complications related to the surgical technique, biomechanical or biological origin. Among the most important are hinge fractures and delayed or non-healing, neurovascular complications, loss of correction, implant-related problems, patellofemoral complaints, biological complications and changes in limb length. Being aware of these problems can help minimizing their prevalence and improve the results of the procedure.The aim of this narrative review is to discuss the potential complications that may occur during and after proximal tibial osteotomies, their origin and ways to prevent them.

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Section: Intra‐operative Complicationsmentioning

confidence: 99%

A systematic approach to managing complications after proximal tibial osteotomies of the knee

Valcarenghi,

Vittone,

Mouton

et al. 2023

J. exp. orthop.

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“…In larger corrections, the capacity for elastic deformation is frequently exceeded resulting in a plastic deformation and fracture of the opposite cortex, which may lead to subsequent loss of correction (Kessler et al 2002; Pape et al 2004). An anteroposterior (AP) drill hole at the apex of the horizontal osteotomy (=hinge) is supposed to increase the capacity of the bony hinge for elastic deformation (Kessler et al 2002; Schroter et al 2014). A study investigated the possibility of the hinge drill to preserve the opposite cortex during an open-wedge HTO, comparing outcomes between HTO without or with an additional AP hinge drilling both in a Sawbone model or in human cadaveric tibial bones.…”

Section: Bone Deformity Correction Techniquesmentioning

confidence: 99%

Advances in modern osteotomies around the knee

et al. 2019

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Corrective lower limb osteotomies are innovative and efficient therapeutic procedures for restoring axial alignment and managing unicompartmental knee osteoarthritis. This review presents critical insights into the up-dated clinical knowledge on osteotomies for complex posttraumatic or congenital lower limb deformities with a focus on high tibial osteotomies, including a comprehensive overview of basic principles of osteotomy planning, biomechanical considerations of different implants for osteotomies and insights in specific bone deformity correction techniques. Emphasis is placed on complex cases of lower limb osteotomies associated with ligament and multiaxial instability including pediatric cases, computer-assisted navigation, external fixation for long bone deformity correction and return to sport after such osteotomies. Altogether, these advances in the experimental and clinical knowledge of complex lower limb osteotomies allow generating improved, adapted therapeutic regimens to treat congenital and acquired lower limb deformities.

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