Medial Open-Wedge High Tibial Osteotomy for Double Varus Deformity and an Increased Tibial Slope.
Where this comes from
- Record sourced from PubMed, PMID 41541390.
- Also identified by DOI 10.1016/j.eats.2025.103969 and PMC identifier 12801028.
- Licence recorded as CC BY-NC-ND.
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Abstract
The goal of the modified medial open-wedge high tibial osteotomy is the combined correction of a double varus deformity (mechanical medial proximal tibia angle <84°, joint line convergence angle >2°) and an increased posterior tibial slope >12°. This goal can be achieved through a few modifications to the standard biplanar medial open-wedge high tibial osteotomy technique. These modifications include (1) positioning of the hinge anterolaterally and above the fibula, (2) removing a small anterior wedge, and (3) using Schanz screws to facilitate slope correction. Osteosynthesis is performed with a locking plate. Rehabilitation involves 6 weeks of partial weight-bearing and free range of motion.