Anterolateral Biplanar Proximal Tibial Opening-Wedge Osteotomy

Abstract Proximal tibial anterolateral opening-wedge osteotomies have been reported to achieve successful biplanar lower-extremity realignment. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sa...

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Bibliographic Details
Published in:Arthroscopy techniques (Amsterdam) 2016-06, Vol.5 (3), p.e531-e540
Main Authors: Dean, Chase S., M.D, Chahla, Jorge, M.D, Moulton, Samuel G., B.A, Nitri, Marco, M.D, Serra Cruz, Raphael, M.D, LaPrade, Robert F., M.D., Ph.D
Format: Article
Language:English
Subjects:
Orthopedics
Technical Note
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Summary:Abstract Proximal tibial anterolateral opening-wedge osteotomies have been reported to achieve successful biplanar lower-extremity realignment. Indications for a proximal tibial anterolateral osteotomy include symptomatic genu recurvatum with genu valgus alignment, usually in patients with a flat sagittal-plane tibial slope. The biplanar approach is able to simultaneously address both components of a patient's malalignment with a single procedure. The correction amount is verified with spacers and intraoperative imaging, while correction of the patient's heel height is simultaneously measured. A plate is secured into the osteotomy site, and the site is filled with bone allograft. The anterolateral tibial osteotomy has been reported to be an effective surgical procedure for correcting concomitant genu recurvatum and genu valgus malalignment.
ISSN:2212-6287
2212-6287
DOI:10.1016/j.eats.2016.02.015