Anterior Opening Wedge Osteotomy of the Proximal Tibia for Genu Recurvatum Caused by Partial Proximal Tibial Epiphyseal Arrest

2013 ◽  
Vol 1 ◽  
pp. 1-4
Author(s):  
Yo Hara ◽  
Yusuke Hashimoto ◽  
Junsei Takigami ◽  
Shinya Yamasaki ◽  
Hiroaki Nakamura
Keyword(s):  
Proximal Tibia ◽  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Genu Recurvatum ◽  
Tibial Epiphyseal

Anterolateral Proximal Tibial Opening Wedge Osteotomy to Treat Symptomatic Genu Recurvatum with Valgus Alignment

2014 ◽  
Vol 4 (3) ◽  
pp. e71 ◽  
Author(s):  
Trevor R. Gaskill ◽  
Casey M. Pierce ◽  
Evan W. James ◽  
Robert F. LaPrade
Keyword(s):  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Genu Recurvatum ◽  
Valgus Alignment

Anterior Opening Wedge Osteotomy of the Tibia for the Treatment of Genu Recurvatum

2017 ◽  
Vol 32 (1) ◽  
pp. 66-73 ◽  
Author(s):  
Vincent Villa ◽  
Romain Gaillard ◽  
Jonathan Robin ◽  
Caroline Debette ◽  
Elvire Servien ◽  
...  
Keyword(s):  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Genu Recurvatum

Opening Wedge Tibial Osteotomy: The 3-Triangle Method to Correct Axial Alignment and Tibial Slope

2005 ◽  
Vol 33 (3) ◽  
pp. 378-387 ◽  
Author(s):  
Frank R. Noyes ◽  
Steven X. Goebel ◽  
John West
Keyword(s):  
Proximal Tibia ◽  
Sagittal Plane ◽  
Wedge Angle ◽  
Tibial Slope ◽  
Tibial Tubercle ◽  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Axial Alignment ◽  
Tibial Cortex ◽  
Valgus Alignment

Background Although a change in tibial slope may occur during a medial opening wedge osteotomy, calculations have not been defined to address this problem. The authors investigated geometric factors important to correct axial alignment and tibial slope during osteotomy. Purpose To calculate, through 3-dimensional analysis of the proximal tibia, how the angle of the opening wedge along the anteromedial tibial cortex influences the tibial slope (sagittal plane) and valgus correction (coronal plane) during osteotomy, and to analyze the different radiographic methods reported in the literature to measure medial and lateral tibial slope. The authors postulated that differences in reported normal values of tibial slope in the sagittal plane were technique dependent. Study Design Descriptive laboratory study Methods The proximal anteromedial tibial cortex obliquity on magnetic resonance imaging was measured in 35 knees. Serial computed tomography images of the proximal tibia were digitized, allowing a series of virtual opening wedge osteotomies to be performed. Algebraic calculations defined the effect of an opening wedge osteotomy on the anteromedial tibial cortex opening wedge angle, sagittal tibial slope angle, and coronal valgus alignment. Results The anteromedial tibial cortex oblique angle at the medial osteotomy site was 45°± 6° and determined, along with the degrees of valgus correction, the degrees of the opening wedge angle in the oblique plane. The anterior osteotomy gap at the tibial tubercle was generally one half of the posteromedial gap to maintain the normal sagittal tibial slope. Every millimeter of gap error at the tibial tubercle resulted in approximately 2° of change in the tibial slope. The width of the buttress plate along the anteromedial tibial cortex was 2 to 3 mm less than the computed coronal valgus posteromedial osteotomy gap to achieve tibiofemoral valgus correction. Conclusions A series of measurements preoperatively and intraoperatively are required to obtain the desired correction of tibial slope and valgus alignment.

scholarly journals Genu Recurvatum after Tibial Tuberosity Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Senthil T. Nathan ◽  
Shital N. Parikh
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Skeletal Maturity ◽  
Treatment Plan ◽  
Tibial Tuberosity ◽  
Wedge Osteotomy ◽  
Opening Wedge ◽  
Tibial Tuberosity Fracture ◽  
Genu Recurvatum ◽  
Fracture Management

Fractures of the tibial tuberosity are infrequent injuries that occur during adolescence. Displaced tibial tuberosity fractures are typically treated with open reduction and internal fixation. Since these fractures occur at or near skeletal maturity, growth disturbances are not seen. This paper presents a case, the first report to our knowledge, of genu recurvatum deformity after open reduction and internal fixation of a tibial tuberosity fracture. A successful treatment plan of tibial tuberosity osteotomy with proximal tibial opening wedge osteotomy was used for the correction of genu recurvatum deformity and to maintain appropriate patellar height. At eighteen-month followup, the deformity remains corrected with satisfactory functional results. This case highlights the importance of recognition of potential complications of fracture management in adolescence.

Development and validation of formulae to predict leg length following medial opening-wedge osteotomy of the proximal tibia with hemicallotasis

The Knee ◽  
2014 ◽  
Vol 21 (4) ◽  
pp. 815-820 ◽  
Author(s):  
Eiichi Nakamura ◽  
Nobukazu Okamoto ◽  
Hiroaki Nishioka ◽  
Hiroki Irie ◽  
Hiroshi Mizuta
Keyword(s):  
Proximal Tibia ◽  
Wedge Osteotomy ◽  
Leg Length ◽  
Opening Wedge ◽  
Development And Validation
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