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[Medial opening-wedge high tibial valgus osteotomy, using a stable TomoFix plate, in genu varum arthritis: surgical technique].

Abstract
The authors present the technique of high tibial correction osteotomy by the medial opening procedure, with the use of an angle-stable TomoFix plate. The prerequisite for a long-term good outcome of corrective osteotomy in genu varum is to achieve limb alignment permitting transfer of weight-bearing from the affected medial compartment to the healthy lateral compartment of the knee. The development of implants that maintain a stable angle has facilitated corrective osteotomy with an opening wedge on the medial side of the proximal tibia. These implants provide stable fixation even when a high correction of the mechanical axis is needed. The authors present the case of a patient with varus malalignment following a fracture of the tibia. In order to achieve correction of the limb's mechanical axis, it was necessary to open the proximal tibia osteotomy with a wedge that was 2.5 cm on the outer side.
AuthorsD Horácek, O Cech, M Weissinger
JournalActa chirurgiae orthopaedicae et traumatologiae Cechoslovaca (Acta Chir Orthop Traumatol Cech) Vol. 73 Issue 3 Pg. 197-204 (Jun 2006) ISSN: 0001-5415 [Print] Czech Republic
Vernacular TitleValgizacní vysoká osteotomie tibie u genu varum arthroticum rozevrením klínu z vnitrní strany stabilizovaná úhlove stabilní dlahou TomoFix: Operacní technika.
PMID16846566 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Bone Plates
  • Female
  • Humans
  • Joint Deformities, Acquired (etiology, pathology, surgery)
  • Knee Joint (pathology, surgery)
  • Osteoarthritis, Knee (complications)
  • Osteotomy (methods)
  • Tibia (surgery)
  • Tibial Fractures (complications)

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