Fibular nonunion after closed-wedge high tibial osteotomy

Ramanoudjame, M.; Vandenbussche, E.; Baring, Toby; Solignac, N.; Augereau, B; Grégory, Thomas

doi:10.1016/j.otsr.2012.09.010

Cited by 15 publications

(15 citation statements)

References 15 publications

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“…In the previous literature, Ramanoudjame et al. 7 reported that, in 108 patients who underwent various fibular shaft osteotomy, there were 15 knees with non-union (13.9%) and 3 knees (2.8%) with nerve injury. Kurosaka et al.…”

Section: Discussionmentioning

confidence: 99%

“… 3 , 4 , 5 , 6 For example, Ramanoudjame et al. 7 and Kurosaka et al. 8 reported that the incidence of the peroneal nerve palsy was 2.8% and 13.7%, respectively, in their clinical experience.…”

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confidence: 99%

“…For instance, the rate of non-union has been reported to range from 14% to 68%. 7 , 8 , 9 Importantly, Kurosaka et al. 8 pointed out that 13.7% of the patients with the fibular non-union complained of pain or tenderness at the fibular osteotomy site.…”

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confidence: 99%

“…Nevertheless, it has still been reported that serious intraoperative complications, including fibular nerve palsy and bleeding from the fibular artery or vein, occasionally occur. [3][4][5][6] For example, Ramanoudjame et al 7 and Kurosaka et al 8 reported that the incidence of the peroneal nerve palsy was 2.8% and 13.7%, respectively, in their clinical experience. In addition, pseudoarthrosis frequently occurs at the osteotomy site in this procedure.…”

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confidence: 99%

“…For instance, the rate of non-union has been reported to range from 14% to 68%. [7][8][9] Importantly, Kurosaka et al 8 pointed out that 13.7% of the patients with the fibular non-union complained of pain or tenderness at the fibular osteotomy site. Thus, the necessity of a fibular osteotomy is regarded as a significant disadvantage in LCW-HTO procedures, and it becomes one of the reasons why medial opening-wedge HTO, in which the fibular osteotomy is not needed, has been more frequently carried out in the world.…”

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confidence: 99%

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An Acute Oblique Osteotomy and Suture Ligation Procedure to Shorten the Fibula in Lateral Closing-Wedge High Tibial Osteotomy

Yasuda

Kondo

Ueda

et al. 2020

Arthroscopy Techniques

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The purpose of this description is to report an “acute oblique osteotomy and ligation” (AOOL) procedure to shorten the fibula in high tibial osteotomy (HTO). A 4-cm longitudinal skin incision is made at the lateral aspect of the leg. After the central portion of the fibula is circumferentially isolated from all the periosteal tissues, a simple osteotomy is performed at the mid-portion of the fibular diaphysis in the quasi-frontal plane, which is inclined by 25 to 30° to the long axis of the fibula. Two thin holes are created beside the osteotomy line on the lateral surface of the fibula. A polyester thread is passed through the 2 holes. After the HTO is completed, the surgeon easily reduces the displaced fibular ends using this thread. This thread is securely tied to keep the contact between the 2 osteotomized surfaces. The AOOL procedure is technically easy and safely performed. We believe that the AOOL procedure is clinically useful to shorten the fibular shaft in HTO.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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An Acute Oblique Osteotomy and Suture Ligation Procedure to Shorten the Fibula in Lateral Closing-Wedge High Tibial Osteotomy

Yasuda

Kondo

Ueda

et al. 2020

Arthroscopy Techniques

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Proximal tibiofibular joint pain versus peroneal nerve dysfunction: clinical results of closed-wedge high tibial osteotomy performed with proximal tibiofibular joint disruption

Özcan

Eroglu

Boya

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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Good clinical outcomes and return to sports after hybrid closed-wedge high tibial osteotomy

Nakashima

Takahara

Itani

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose This study aimed to investigate preoperative sports participation and postoperative clinical outcomes including a return to sports (RTS) after hybrid closed-wedge high tibial osteotomy (CWHTO) for medial compartment osteoarthritis of the knee. Characteristic of Hybrid CWHTO was deined as extra-articular lateral closed and medial open wedge osteotomy. Methods The patients who underwent hybrid CWHTO from January 2016 to December 2018 were retrospectively reviewed and divided them into sports and non-sports groups. The preoperative demographic and radiographic characteristics were compared in both groups. And the clinical outcomes including the Japanese Orthopaedic Association (JOA) score, visual analogue scale (VAS), Lysholm score, University of California at Los Angeles (UCLA) activity score, and RTS in the sports group were also investigated. Statistical analysis was performed for comparisons among the preoperative factors between the two groups. Inluence of sports impact and bone union of ibular osteotomy was also statistically investigated for RTS. Results Of the 161 knees (129 patients; 46 males, 83 females), 20 knees (16 patients; 13 males, 3 females; 12.3%) belonged to sports group. Although there were no signiicant diferences regarding the age and radiographic parameters, there were signiicant diferences in the body mass index and proportion of males between both groups. The JOA, VAS, Lysholm, and UCLA activity scores signiicantly improved after surgery. RTS was 80% at a mean duration of 7.2 ± 3.1 months. RTS in the high-impact sports group was signiicantly lower than that in the low-impact sports group (high-impact 60% vs. low-impact 100%, p = 0.043). There was no signiicant diference in RTS regarding bone union after ibular osteotomy. ConclusionThe clinical outcomes including RTS were satisfactory in patients with hybrid CWHTO. Level of evidence IV.

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Fibular nonunion after closed-wedge high tibial osteotomy

Abstract: Level IV, therapeutic study.

Cited by 15 publications

References 15 publications

An Acute Oblique Osteotomy and Suture Ligation Procedure to Shorten the Fibula in Lateral Closing-Wedge High Tibial Osteotomy

An Acute Oblique Osteotomy and Suture Ligation Procedure to Shorten the Fibula in Lateral Closing-Wedge High Tibial Osteotomy

Proximal tibiofibular joint pain versus peroneal nerve dysfunction: clinical results of closed-wedge high tibial osteotomy performed with proximal tibiofibular joint disruption

Good clinical outcomes and return to sports after hybrid closed-wedge high tibial osteotomy

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