Biplanar high tibial osteotomy for the combined correction of varus and posterior tibial slope malalignment
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Biplanar high tibial osteotomy for the combined correction of varus and posterior tibial slope malalignment. / Müller, Sebastian; Frosch, Karl-Heinz; Frings, Jannik; Berninger, Markus; Krause, Matthias.
In: ORTHOP TRAUMATOL-SUR, Vol. 109, No. 4, 06.2023, p. 103339.Research output: SCORING: Contribution to journal › Short publication › Research › peer-review
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TY - JOUR
T1 - Biplanar high tibial osteotomy for the combined correction of varus and posterior tibial slope malalignment
AU - Müller, Sebastian
AU - Frosch, Karl-Heinz
AU - Frings, Jannik
AU - Berninger, Markus
AU - Krause, Matthias
N1 - Copyright © 2022 Elsevier Masson SAS. All rights reserved.
PY - 2023/6
Y1 - 2023/6
N2 - Varus malalignment combined with an increased posterior tibial slope (PTS) in the ACL deficient knee is a frequent pathology; yet, treatment for this condition remains challenging. The presented biplanar osteotomy technique allows to simultaneously address both components of malalignment in a single step. A detailed preoperative planning is best achieved by means of a digital planning software and constant intraoperative imaging is performed to verify the correction angle. A bony wedge is resected along with the extension osteotomy according to the preoperative planning and the medial-opening tibial osteotomy site is filled with bone allograft. Two bicortical lag screws are placed in anterior-posterior direction to secure the extension osteotomy, whereas a plate fixation is used for the medial-open osteotomy.
AB - Varus malalignment combined with an increased posterior tibial slope (PTS) in the ACL deficient knee is a frequent pathology; yet, treatment for this condition remains challenging. The presented biplanar osteotomy technique allows to simultaneously address both components of malalignment in a single step. A detailed preoperative planning is best achieved by means of a digital planning software and constant intraoperative imaging is performed to verify the correction angle. A bony wedge is resected along with the extension osteotomy according to the preoperative planning and the medial-opening tibial osteotomy site is filled with bone allograft. Two bicortical lag screws are placed in anterior-posterior direction to secure the extension osteotomy, whereas a plate fixation is used for the medial-open osteotomy.
U2 - 10.1016/j.otsr.2022.103339
DO - 10.1016/j.otsr.2022.103339
M3 - Short publication
C2 - 35643363
VL - 109
SP - 103339
JO - ORTHOP TRAUMATOL-SUR
JF - ORTHOP TRAUMATOL-SUR
SN - 1877-0568
IS - 4
ER -