Unintended Rotational Changes of the Distal Tibia After Biplane Medial Open-Wedge High Tibial Osteotomy.
retrospective_cohort · Level III
Where this comes from
- Record sourced from PubMed, PMID 26387921.
- Also identified by DOI 10.1016/j.arth.2015.08.010.
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Abstract
This study involved 35 knees undergoing biplane medial open-wedge high tibial osteotomy (OWHTO) to assess the axial rotation of the distal tibia. The distal tibiae were internally rotated by 3.0° ± 7.1° after OWHTO. The opening width showed a Pearson correlation coefficient of -0.743 (P < .001), and the tuberosity osteotomy angle showed that of -0.678 (P < .001) with distal tibial rotation. However, changes in hip-knee-ankle angle, medial proximal tibial angle, and posterior tibial slope were not significantly correlated with the change in distal tibial rotation. In conclusion, there was an unintended tendency of increasing internal rotation of the distal tibia after biplane medial OWHTO, and this tendency was positively related to the opening width and tuberosity osteotomy angle.
Medical subject headings
- Ankle Joint
- Knee Joint
- Osteoarthritis, Knee
- Osteotomy
- Tibia
Anatomy
- ankle
- knee
- tibia