Safety of a novel high tibial osteotomy locked plate fixation for immediate full weight-bearing: a case-control study

Hernigou, Philippe; Queinnec, Steffen; Picard, Laure; Guissou, Isaac; Naanaa, Tarek; Duffiet, Pascal; Julian, Didier; Archer, Valérie

doi:10.1007/s00264-013-2066-3

Cited by 35 publications

(22 citation statements)

References 26 publications

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“…With regard to fixation devices, most of the recent literature has focused on the tomofix plate (synthes, West Chester, PA, UsA) and the Puddu plate (Arthrex, naples, FL, UsA) (19,20), reporting mid-term survivorship up to 90%. Recently, less rigid implants allowing immediate full weight bearing have been introduced for clinical use: the early results are promising (21). our results, obtained utilizing a titanium tplate (Citieffe, italy), are similar to those reported in the current literature: none of the implants have been removed and none of the patients underwent secondary total knee replacement before final follow-up.…”

Section: Discussionsupporting

confidence: 82%

Opening-wedge high tibial osteotomy: a seven - to twelve-year study

Pipino

Indelli

Tigani

et al. 2016

Joints

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Purpose: medial opening-wedge osteotomy is a widely performed procedure used to treat moderate isolated medial knee osteoarthritis. Historically, the literature has contained reports showing satisfactory midterm results when accurate patient selection and precise surgical techniques were applied. this study was conducted to investigate the clinical and radiographic seven-to twelve-year results of opening-wedge high tibial osteotomy in a consecutive series of patients affected by varus knee malalignment with isolated medial compartment degenerative joint disease. Methods: we reviewed a case series of 147 medial opening-wedge high tibial osteotomies at an average follow-up of 9.5 years. Endpoints for evaluation included the reporting of adverse effects, radiographic evidence of bone union, radiographic changes in the correction angle during union, and clinical and functional final outcomes. Results: good or excellent results were obtained in 94% of the cases: the patients reported no major complications related to the opening-wedge high tibial osteotomy surgical technique, bone graft resorption, implant choice or postoperative rehabilitation protocol. At final follow-up, the average hip-knee angle was 4° of valgus without major loss of correction during the healing process. A statistically significant change in the patellar height was detected postoperatively, with a trend towards patella infera. Conclusions: medial opening-wedge high tibial osteotomy is still a reliable method for correcting varus deformity while producing stable fixation, thus allowing satisfactory stability, adequate bone healing and satisfactory mid-to long-term results. Level of evidence: Level iV, therapeutic cases series.

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Section: Discussionsupporting

confidence: 82%

Opening-wedge high tibial osteotomy: a seven - to twelve-year study

Pipino

Indelli

Tigani

et al. 2016

Joints

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“…Valgus-producing medial open-wedge high tibial osteotomy (owHTO) is an established procedure for the treatment fixation devices have been developed for owHTO, such as an inlay system [21], short spacer plates with or without locking screws [4,6,16,32,43,48,60], and locking screw plate fixators with [25] and without a spacer [13,18,19,36,40,45,49,65].…”

Section: Introductionmentioning

confidence: 99%

Prospective evaluation of a new plate fixator for valgus-producing medial open-wedge high tibial osteotomy

Cotic

Vogt

Feucht

et al. 2014

Knee Surg Sports Traumatol Arthrosc

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“…High tibial osteotomy (HTO) has been an established treatment option for young and active patients with unicompartmental osteoarthritis (OA) of the knee since the 1960s [1][2][3][4]. The mechanical leg axis is one important factor influencing the mechanical load distribution in the knee joint.…”

Section: Introductionmentioning

confidence: 99%

Opening wedge high tibial osteotomy: navigation system compared to the conventional technique in a controlled clinical study

Ribeiro

Severino

Fucs

2014

International Orthopaedics (SICOT)

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Purpose This study aimed to verify if the navigation system used in high tibial osteotomy (HTO) adds precision to the procedure regarding mechanical axis correction and prevention of tibial slope increases. Methods In this historically controlled study, patients with medial osteoarthrosis and genuvarum underwent HTO between 2004 and 2012; the first 20 were operated with the conventional technique, using pre-planning correction by the Dugdale method and 18 further patients were operated with the navigation system introduced in our hospital. Results The two groups were similar for pre-operative mechanical axis (mean 8.10±3.14 for the control and 6.60± 2.50 for the navigated group), pre-operative tibial slope (mean 8.95±3.47 versus 8.17±3.11, respectively) and Lyshom score (40.85±15.46 and 44.83±16.86). After surgery, the control group presented mean mechanical axis of 3.35±3.27, tibial slope of 13.75±3.75 and Lyshom score of 87.60±11.12. The navigated group showed a postoperative mechanical axis mean of 3.06±1.70, tibial slope of 10.11±0.18 and Lyshom score of 91.94±11.61. Conclusions The navigation system allowed a significantly better control of tibial slope. Patients operated with the navigation system had significantly better Lysholm scores.

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Safety of a novel high tibial osteotomy locked plate fixation for immediate full weight-bearing: a case-control study

Abstract: The Limmed® medial opening wedge HTO system represents a novel method of achieving a reliable correction while producing a stable fixation allowing satisfactory stability and bone healing with immediate full weight-bearing.

Cited by 35 publications

References 26 publications

Opening-wedge high tibial osteotomy: a seven - to twelve-year study

Opening-wedge high tibial osteotomy: a seven - to twelve-year study

Prospective evaluation of a new plate fixator for valgus-producing medial open-wedge high tibial osteotomy

Opening wedge high tibial osteotomy: navigation system compared to the conventional technique in a controlled clinical study

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