Fixation of proximal tibia medial opening wedge osteotomy using plates with wedges

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dc.authorscopusid56012788100
dc.contributor.authorEsenkaya I.
dc.date.accessioned2024-08-04T20:00:37Z
dc.date.available2024-08-04T20:00:37Z
dc.date.issued2005
dc.departmentİnönü Üniversitesien_US
dc.description.abstractOBJECTIVES: The indications, surgical technique, and the results of fixation using plates with metal wedges were assessed in proximal tibia medial opening wedge osteotomy. METHODS: Forty knees in 38 consecutive patients (5 men, 33 women; mean age 51 years; range 36 to 65 years) with medial compartment osteoarthritis of the knee were treated with proximal tibia medial opening wedge osteotomy using plates with wedges. Following arthroscopic debridement, medial proximal tibial osteotomy was performed laterally and proximally on an oblique line and 3-4 cm distal to the medial joint space. Disruption of the lateral cortex was avoided. Fixation of the osteotomy was performed using plates with wedges. The plates which were designed by the author were either rectangular in shape with two or four holes or had an inverse "L" shape with four holes, bearing metal wedges at varying heights from 5 to 15 mm. The plates were fixed with screws. Tricortical (n=8) or bicortical (n=25) iliac bone autografts and allografts (n=7) were used. Clinical and functional evaluations were made using the HSS scoring system. The mean follow-up was 17 months (range 9 to 36 months). RESULTS: The mean preoperative and postoperative tibiofemoral angles were 4.3 degrees varus (0 degrees -10 degrees ) and 5.8 degrees valgus (3 degrees -11 degrees ), respectively. The mean HSS score increased from 59 (range 52 to 75) preoperatively to 90 (range 79 to 96) on final evaluations. During surgery, lateral tibial plateau fissures and lateral cortex fractures occurred in three (7.5%) and 11 (27.5%) knees, respectively. Delayed healing and delayed union and breakdown of a distal screw were encountered in one patient (2.5%). CONCLUSION: Fixation of proximal tibia medial opening wedge osteotomy using plates with wedges provides adequate stabilization to maintain the desired correction and to allow early functional rehabilitation in the treatment of medial osteoarthritis of the knee.en_US
dc.identifier.endpage223en_US
dc.identifier.issn1017-995X
dc.identifier.issue3en_US
dc.identifier.pmid16141727en_US
dc.identifier.scopus2-s2.0-33644692036en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage211en_US
dc.identifier.urihttps://hdl.handle.net/11616/90860
dc.identifier.volume39en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isotren_US
dc.relation.ispartofActa orthopaedica et traumatologica turcicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectadulten_US
dc.subjectageden_US
dc.subjectarthroscopyen_US
dc.subjectarticleen_US
dc.subjectbone plateen_US
dc.subjectevaluationen_US
dc.subjectfemaleen_US
dc.subjecthospitalizationen_US
dc.subjecthumanen_US
dc.subjectjoint characteristics and functionsen_US
dc.subjectkneeen_US
dc.subjectknee osteoarthritisen_US
dc.subjectmaleen_US
dc.subjectmethodologyen_US
dc.subjectmiddle ageden_US
dc.subjectosteotomyen_US
dc.subjectpathologyen_US
dc.subjectradiographyen_US
dc.subjecttibiaen_US
dc.subjecttreatment outcomeen_US
dc.subjectAdulten_US
dc.subjectAgeden_US
dc.subjectArthroscopyen_US
dc.subjectBone Platesen_US
dc.subjectFemaleen_US
dc.subjectHumansen_US
dc.subjectKnee Jointen_US
dc.subjectMaleen_US
dc.subjectMiddle Ageden_US
dc.subjectOsteoarthritis, Kneeen_US
dc.subjectOsteotomyen_US
dc.subjectRange of Motion, Articularen_US
dc.subjectSeverity of Illness Indexen_US
dc.subjectTibiaen_US
dc.subjectTreatment Outcomeen_US
dc.titleFixation of proximal tibia medial opening wedge osteotomy using plates with wedgesen_US
dc.title.alternativeProksimal tibia medial açik kama osteotomisinde kamali plak uygulamasi.en_US
dc.typeArticleen_US

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