scholarly journals Role of constraining staple on tibial slope in open wedge osteotomy: A comparative study

2019 ◽  
Vol 105 (7) ◽  
pp. 1377-1381
Author(s):  
Frédéric Lavoie ◽  
Cynthia Gastineau ◽  
Antoine Denis ◽  
Fidaa Al-Shafka
Author(s):  
Andreas Weiler ◽  
Jörg Dickschas ◽  
Clemens Gwinner

AbstractRecently, the bony anatomy of the proximal tibia has gained strong interest, particularly in the cruciate ligament deficient knee. Regarding the anterior cruciate ligament (ACL), several studies outlined that a steep tibial slope (≥12 degrees) contributes to early failures after ACL reconstruction. As a consequence, the first clinical reports are available on slope reducing osteotomies in revision ACL surgery. Vice versa, biomechanical as well as clinical reports suggest that a flat slope increases the load on the posterior cruciate ligament (PCL) and might contribute to a poor result after PCL reconstruction. Since many decades, slope increasing anterior open wedge osteotomies are used to treat a symptomatic genu recurvatum. The aim of the current report is to describe different surgical techniques and report our first clinical experience of an anterior open wedge osteotomy as a sole procedure in chronic PCL deficient knees with a flat tibial slope. In six cases, a mean preoperative slope of 3.7 degrees (range = 2–5 degrees) was increased to a mean of 11.5 degrees (range = 9–13 degrees). There was one case with a delayed bone healing, which was successfully treated without loss of correction by revision internal fixation and bone grafting.


2008 ◽  
Vol 129 (11) ◽  
pp. 1483-1487 ◽  
Author(s):  
Nikolaus Reischl ◽  
Peter Wahl ◽  
Matthias Jacobi ◽  
Steve Clerc ◽  
Emanuel Gautier ◽  
...  

1996 ◽  
Vol 31 (4) ◽  
pp. 932
Author(s):  
Jae Lim Cho ◽  
Ye Soo Park ◽  
Won Ku Yoon ◽  
In Mook Lee

2019 ◽  
Vol 11 (1) ◽  
pp. 82-90 ◽  
Author(s):  
Qi‐fang He ◽  
Han‐xu Wang ◽  
Hui Sun ◽  
Yu Zhan ◽  
Bin‐bin Zhang ◽  
...  

2011 ◽  
Vol 19 (1) ◽  
pp. 57-59 ◽  
Author(s):  
Harpreet Singh ◽  
Vikas Rajesh Singh ◽  
P Yuvarajan ◽  
Lalit Maini ◽  
VK Gautam

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