SHORT-TERM RESULTS OF OPEN WEDGE HIGH TIBIAL OSTEOTOMY USING T-BUTTRESS PLATE AND A METAL WEDGE

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KARIMI MOBARAKEH MAHMOOD; MARDANI KIVI MOHSEN; KEYHANI SOHRAB; SAFAEE HADI

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Journal: IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY Year:2011 | Volume:9 | Issue:3 (36) Page(s): 102-108

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Title

SHORT-TERM RESULTS OF OPEN WEDGE HIGH TIBIAL OSTEOTOMY USING T-BUTTRESS PLATE AND A METAL WEDGE

Author(s)

KARIMI MOBARAKEH MAHMOOD | MARDANI KIVI MOHSEN | KEYHANI SOHRAB | SAFAEE HADI | Issue Writer Certificate

Keywords

TIBIAQ3

OSTEOTOMYQ3

GENU VARUMQ2

Abstract

Background: High TIBIA OSTEOTOMY remains an acceptable method for prevention of medial comportment knee osteoarthritis. The conventional technique is a closing wedge OSTEOTOMY. We planned to study short-term results of a medial open wedge high TIBIA OSTEOTOMY using T-Buttress plate and a metal wedge.Methods: In this case series study, 60 patients (76 knees, 27 male and 33 female) underwent an open wedge high TIBIA OSTEOTOMY surgery using a T-Buttress plate and a metal wedge in a in a teaching hospital in Kerman-Iran. Patients were assessed clinically and radiographically including Modified Hospital for Special Surgery Knee Scoring System (HSSKS), anatomical and mechanical limb alignment, Insall Salvati patellar height index and proximal TIBIA posterior slope angle.Results: The mean TIBIA-femoral angle changed from -6.8 to +4.33 degrees. 26(43.3%) patients needed iliac cancellous graft. The mean metal wedge size was 11.07 mm (8-15 mm). The mean Modified HSSKS promoted from 75.5 to 98.73. The observed complications were: fracture in five, intraarticular screw penetration in four (one in proximal TIBIA-fibular joint), infection in two and under-correction in one patient. There was no non-union, proneal nerve injury, over-correction, plate failure, deep vein thrombosis and bone graft donor site complication. The mean posterior TIBIA slope changed from 8.05±1.95 to 8.68±1.54 degrees and patellar height index changed from 1.06 to. 97.Conclusion: This procedure is a safe and reliable technique and lessened the need for an autograft. Significant improvement in score of Modified HSSKS was seen post operatively.

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APA: Copy

KARIMI MOBARAKEH, MAHMOOD, MARDANI KIVI, MOHSEN, KEYHANI, SOHRAB, & SAFAEE, HADI. (2011). SHORT-TERM RESULTS OF OPEN WEDGE HIGH TIBIAL OSTEOTOMY USING T-BUTTRESS PLATE AND A METAL WEDGE. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, 9(3 (36)), 102-108. SID. https://sid.ir/paper/85456/en

Vancouver: Copy

KARIMI MOBARAKEH MAHMOOD, MARDANI KIVI MOHSEN, KEYHANI SOHRAB, SAFAEE HADI. SHORT-TERM RESULTS OF OPEN WEDGE HIGH TIBIAL OSTEOTOMY USING T-BUTTRESS PLATE AND A METAL WEDGE. IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY[Internet]. 2011;9(3 (36)):102-108. Available from: https://sid.ir/paper/85456/en

IEEE: Copy

MAHMOOD KARIMI MOBARAKEH, MOHSEN MARDANI KIVI, SOHRAB KEYHANI, and HADI SAFAEE, “SHORT-TERM RESULTS OF OPEN WEDGE HIGH TIBIAL OSTEOTOMY USING T-BUTTRESS PLATE AND A METAL WEDGE,” IRANIAN JOURNAL OF ORTHOPAEDIC SURGERY, vol. 9, no. 3 (36), pp. 102–108, 2011, [Online]. Available: https://sid.ir/paper/85456/en

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