Kirschner Wire Reference Technique in Open-Wedge High Tibial Osteotomy

Abstract

Open-wedge high tibial osteotomy is a common procedure to treat young adult and adult patients with symptomatic varus malalignment. The purpose of the high tibial osteotomy is to shift the mechanical load from the medial compartment to the lateral compartment. There are several methods to determine the correct alignment, such as the cable method, the gap measurement method, the navigator system, or the patient-specific cutting guide method. The cable and gap measurement techniques are easy to use, but the results of these techniques are unpredictable. The navigator and patient-specific cutting guide methods have high accuracy in attaining the desired correction alignment, but they are quite costly. We propose a technique we call the Kirschner wire reference method, which is easy to use to achieve the desired alignment correction, without requiring specialized or expensive equipment.

Effect of Tranexamic Acid on Blood Management during a High Tibial Osteotomy: A Systematic Review and Meta‐analysis

“… 26 , 27 , 28 HTO with the opening wedge technique creates a triangle osteotomy gap on the tibial plateau with a correction angle of more than 5°. 29 In addition, a cut in the bone can lead to excessive blood loss, while TXA can bind to plasminogen competitively to inhibit fibrinolysis, thus reducing blood loss. This effect can be reflected in the hemoglobin value, which is related to the health condition of the patients.…”