JBJS | Opening-Wedge Osteotomy for Revision of Failed Closing-Wedge High Tibial Osteotomy: A Case Report

The Journal of Bone & Joint Surgery, Volume 86, Issue 9

Case Reports | September 01, 2004

Opening-Wedge Osteotomy for Revision of Failed Closing-Wedge High Tibial Osteotomy: A Case Report

Eiichi Tsuda, MD¹; Yasuyuki Ishibashi, MD¹; Kazuhiro Sasaki, MD¹; Hideki Sato, MD¹; Satoshi Toh, MD¹

¹ Department of Orthopaedic Surgery, Hirosaki University School of Medicine, 5 Zaifu-cho, Hirosaki 036-8562, Japan. E-mail address for E. Tsuda: eiichi@cc.hirosaki-u.ac.jp

The Journal of Bone & Joint Surgery. 2004; 86:2045-2049

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Extract

High tibial osteotomy is one of the surgical options for the treatment of osteoarthritis of the medial compartment of the knee or varus malalignment of the knee. The procedure has been associated with a high success rate when appropriate correction of the femorotibial angle has been obtained in a properly selected patient1-4. Patients who were younger than fifty years of age had a joint survival rate of 80% in a ten-year follow-up study that included ninety-four lateral closing-wedge osteotomies and twelve dome osteotomies5. In another long-term study, excellent or good ten-year results were obtained in 70% of fifty-one knees in which a lateral closing-wedge osteotomy had been performed6.

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osteotomy ; tibia, proximal, osteotomy of

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These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

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