High tibial osteotomy (HTO) is used as an alternative to total knee arthroplasty in young patients with knee osteoarthritis. In the conventional HTO, if the distraction distance is large, the osteotomy section will be significantly separated, forming a large bone defect gap, which may lead to delayed healing or even nonunion. We treated a series of 10 patients with medial knee osteoarthritis by a novel M-shaped high tibial osteotomy. This helped to improve greater contact of cortical sections and rapid healing of the osteotomy break. Over a mean follow-up period of 8.5 months (range, 6.0-12.0 months), all patients achieved bone union. None of the patients showed complications such as nonunion or infection. The novel M-shaped HTO procedure can reduce the probability of delayed union/nonunion and avoid the complications associated with bone grafting. Hence, this technique may be an effective alternative for the HTO.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10293495 | PMC |
| http://dx.doi.org/10.1007/s43465-023-00904-8 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
3D-printed patient-specific instrumentation and the freehand technique in high-tibial osteotomy: A prospective cohort-comparative study in an outpatient setting.
J Exp Orthop
January 2025
Department of Orthopedics and Traumatology, Knee Unit, Parc Taulí Hospital Universitari, Institut d'Investigació I Innovació Parc Taulí (I3PT-CERCA) Universitat Autònoma Barcelona (UAB) Sabadell Spain.
Purpose: Tibial valgus osteotomy has shown to be a successful and cost-effective procedure. The advent of image processing and three-dimensional (3D) printing is an interesting tool for achieving more accurate and reproducible results. The aim of our study was to compare the accuracy of the conventional technique and the use of customized guides in the correction of tibial deformities in tibial varus patients, the surgical and clinical benefits, and the impact of treatment in the outpatient setting.
View Article and Find Full Text PDFTexture analysis combined with machine learning in radiographs of the knee joint: potential to identify tibial plateau occult fractures.
Quant Imaging Med Surg
January 2025
School of Management and Economics, University of Electronic Science and Technology of China, Chengdu, China.
Background: Missed or delayed diagnosis of occult fractures of tibial plateau may cause adverse effects on patients. The objective of this study was to evaluate the diagnostic performance of texture analysis (TA) of knee joint radiographs combined with machine learning (ML) in identifying patients at risk of tibial plateau occult fractures.
Methods: A total of 169 patients with negative fracture on knee X-ray films from 2018 to 2022 who were diagnosed with occult tibial plateau fractures or no fractures by subsequent magnetic resonance imaging (MRI) examination were retrospectively enrolled.
Optimizing the graft size in the Evans osteotomy to minimize the calcaneocuboid joint pressure by highly realistic in-silico analysis.
Sci Rep
January 2025
Division of Mechanical and Biomedical Engineering, Ewha Womans University, Seoul, 03760, Republic of Korea.
This contribution details a new high-fidelity finite element analysis (FEA) methodology for the investigation of the effect of the graft size on the pressure distribution developing at the calcaneocuboid joint after the Evans osteotomy procedure. The FEA model includes all 28 bones of the foot up to the distal end of fibula and tibia as well as soft tissues, tendons, and muscles. The developed FEA model was validated by comparing the in-vivo pressure distribution on the foot plantar with the in-silico results, resulting in a low deviation equal to 7.
View Article and Find Full Text PDFTibial Plateau Angle Changes following Repair of Salter-Harris Type 1 and 2 Fractures in Dogs.
Vet Comp Orthop Traumatol
January 2025
Veterinary Specialists of Sydney, Sydney, New South Wales, Australia.
Objective: To determine (1) whether the tibial plateau angle (TPA) in dogs with Salter-Harris type 1 (SH-1) or type 2 (SH-2) fractures of the proximal tibial physis significantly decreases in the time between diagnosis and reevaluation following surgical repair and (2) whether the method of surgical repair influences the change in TPA over time.
Study Design: This study was a retrospective study. Medical records from 2017 to 2022 were reviewed to identify dogs with SH-1 or SH-2 fractures of the proximal tibial physis that had undergone surgical repair with Kirschner wires (K-wires), with or without a tibial tuberosity tension band.
Revisiting two thousand hinge fractures in open wedge high tibial osteotomy with a fifty years review: the oscillating saw cannot replace the traditional "ear-hand" dialogue between osteotome and hammer to estimate the elastic modulus of bone.
SICOT J
January 2025
Hospital Henri Mondor, University Paris East (UPEC), Avenue du Marechal de Lattre de Tassigny, 94000 Creteil, France.
Background: Hinge fracture on the lateral part of the tibia (LHF) is a common complication of medial Open Wedge High Tibial Osteotomy (OWHTO). Many factors have been described as risks for these fractures, but no study has compared an osteotome or an oscillating saw to prevent LHF following OWHTO.
Methods: This "propensity-score-matched" (PSM) study was conducted from data obtained in the literature from 1974 to November 2024.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!