The Sentinel Wires Technique for Safe Open Wedge High Tibial Osteotomy.

Gawish, Hesham Mohamed; Elghaish, Mohamed Abdelmonsef Ibrahim; Aziz, Waleed Hamed Hamed Ebrahim; Elfekky, Mohamed; Abou Helwo, Ahmed Hassan Saad; Waly, Ahmed Hassan Taha · Arthrosc Tech · 2025

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Abstract

Open wedge high tibial osteotomy is an effective surgical procedure for the treatment of medial compartment arthritis. Takeuchi described 3 types of lateral hinge fractures that may jeopardize the stability of the osteotomy with undesirable outcomes. In this Technical Note, 3 protective K-wires were implemented to improve lateral hinge resistance to failure.

Anatomy