The Knee
Volume 18, Issue 4 , Pages 278-284 , August 2011

Early complications of medial opening wedge high tibial osteotomy using autologous tricortical iliac bone graft and T-plate fixation

  • Dong Ju Chae

      Affiliations

    • Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, Republic of Korea
    • Bonplus Hospital, Seoul, Republic of Korea
  • ,
  • Gautam M. Shetty

      Affiliations

    • Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, Republic of Korea
  • ,
  • Kook Hyun Wang

      Affiliations

    • Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, Republic of Korea
  • ,
  • Antonio Santa Cruz Montalban Jr

      Affiliations

    • Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, Republic of Korea
  • ,
  • Jong In Kim

      Affiliations

    • Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, Republic of Korea
  • ,
  • Kyung Wook Nha

      Affiliations

    • Department of Orthopedic Surgery, Inje University, Ilsan Paik Hospital, Ilsan, Republic of Korea
    • Corresponding Author InformationCorresponding author. Tel.: +82 31 910 7301; fax: +82 31 910 7968.

Received 17 September 2009 ,Revised 15 May 2010 ,Accepted 17 May 2010.

References 

  1. Rose T, Imhoff AB. Complications after transgenicular osteotomies. Oper Tech Orthop. 2007;17:80–86
  2. Coventry MB, Ilstrup DM, Wallrichs SL. Proximal tibial osteotomy. A critical long-term study of eighty-seven cases. J Bone Joint Surg Am. 1993;75-A:196–201
  3. Coventry MB. Upper tibial osteotomy for osteoarthritis. J Bone Joint Surg Am. 1985;67-A:1136–1140
  4. Ivarsson I, Myrnerts R, Gillquist J. High tibial osteotomy for medial osteoarthritis of the knee. A 5 to 7 and 11 year follow-up. J Bone Joint Surg Br. 1990;72-B:238–244
  5. Yasuda K, Majima T, Tsuchida T, Kaneda K. A ten- to 15-year follow-up observation of high tibial osteotomy in medial compartment osteoarthrosis. Clin Orthop Relat Res. 1992;282:186–195
  6. Brinkman JM, Lobenhoffer P, Agneskirchner JD, Staubli AE, Wymenga AB, van Heerwaarden RJ. Osteotomies around the knee: patient selection, stability of fixation and bone healing in high tibial osteotomies. J Bone Joint Surg Br. 2008;90-B:1548–1557
  7. Wright JM, Crockett HC, Slawski DP, Madsen MW, Windsor RE. High tibial osteotomy. J Am Acad Orthop Surg. 2005;13:279–289
  8. Agneskirchner JD, Freiling D, Hurschler C, Lobenhoffer P. Primary stability of four different implants for opening wedge high tibial osteotomy. Knee Surg Sports Traumatol Arthrosc. 2006;14:291–300
  9. Koshino T, Murase T, Saito T. Medial opening-wedge high tibial osteotomy with use of porous hydroxyapatite to treat medial compartment osteoarthritis of the knee. J Bone Joint Surg Am. 2003;85-A:78–85
  10. Magyar G, Ahl TL, Vibe P, Toksvig-Larsen S, Lindstrand A. Open-wedge osteotomy by hemicallotasis or the closed-wedge technique for osteoarthritis of the knee. A randomised study of 50 operations. J Bone Joint Surg Br. 1999;81-B:444–448
  11. Brouwer RW, Bierma-Zeinstra SM, van Raaij TM, Verhaar JA. Osteotomy for medial compartment arthritis of the knee using a closing wedge or an opening wedge controlled by a Puddu plate. A one-year randomised, controlled study. J Bone Joint Surg Br. 2006;88-B:1454–1459
  12. Takeuchi R, Ishikawa H, Aratake M, Bito H, Saito I, Kumagai K, et al. Medial opening wedge high tibial osteotomy with early full weight bearing. Arthroscopy. 2009;25:46–53
  13. Chae DJ, Shetty GM, Lee DB, Choi HW, Han SB, Nha KW. Tibial slope and patellar height after opening wedge high tibia osteotomy using autologous tricortical iliac bone graft. Knee. 2008;15:128–133
  14. van den Bekerom MP, Patt TW, Kleinhout MY, van der Vis HM, Albers GH. Early complications after high tibial osteotomy: a comparison of two techniques. J Knee Surg. 2008;21:68–74
  15. Amendola A, Fowler PJ, Litchfield R, Kirkley S, Clatworthy M. Opening wedge high tibial osteotomy using a novel technique: early results and complications. J Knee Surg. 2004;17:164–169
  16. Spahn G. Complications in high tibial (medial opening wedge) osteotomy. Arch Orthop Trauma Surg. 2004;124:649–653
  17. Warden SJ, Morris HG, Crossley KM, Brukner PD, Bennell KL. Delayed- and non-union following opening wedge high tibial osteotomy: surgeons' results from 182 completed cases. Knee Surg Sports Traumatol Arthrosc. 2005;13:34–37
  18. Esenkaya I, Elmali N. Proximal tibia medial open-wedge osteotomy using plates with wedges: early results in 58 cases. Knee Surg Sports Traumatol Arthrosc. 2006;14:955–961
  19. Miller BS, Downie B, McDonough EB, Wojtys EM. Complications after medial opening wedge high tibial osteotomy. Arthroscopy. 2009;25:639–646
  20. Asik M, Sen C, Kilic B, Goksan SB, Ciftci F, Taser OF. High tibial osteotomy with Puddu plate for the treatment of varus gonarthrosis. Knee Surg Sports Traumatol Arthrosc. 2006;14:948–954
  21. Hoell S, Suttmoeller J, Stoll V, Fuchs S, Gosheger G. The high tibial osteotomy, open versus closed wedge, a comparison of methods in 108 patients. Arch Orthop Trauma Surg. 2005;125:638–643
  22. Dugdale TW, Noyes FR, Styer D. Planning for high tibial osteotomy. The effect of lateral tibiofemoral separation and tibiofemoral length. Clin Orthop Relat Res. 1992;274:248–264
  23. Tunggal JA, Higgins GA, Waddell JP. Complications of closing wedge high tibial osteotomy. Int Orthop. 2010;34:255–261
  24. Valkering KP, van den Bekerom MP, Kappelhoff FM, Albers GH. Complications after tomofix medial opening wedge high tibial osteotomy. J Knee Surg. 2009;22:218–225
  25. Noyes FR, Mayfield W, Barber-Westin SD, Albright JC, Heckmann TP. Opening wedge high tibial osteotomy: an operative technique and rehabilitation program to decrease complications and promote early union and function. Am J Sports Med. 2006;34:1262–1273
  26. Staubli AE, De Simoni C, Babst R, Lobenhoffer P. TomoFix: a new LCP-concept for open wedge osteotomy of the medial proximal tibia—early results in 92 cases. Injury. 2003;34(Suppl 2):B55–B62
  27. Niemeyer P, Koestler W, Kaehny C, Kreuz PC, Brooks CJ, Strohm PC, et al. Two-year results of open-wedge high tibial osteotomy with fixation by medial plate fixator for medial compartment arthritis with varus malalignment of the knee. Arthroscopy. 2008;24:796–804
  28. Kolb W, Guhlmann H, Windisch C, Kolb K, Koller H, Grützner P. Opening-wedge high tibial osteotomy with a locked low-profile plate. J Bone Joint Surg Am. 2009;91:2581–2588
  29. Santic V, Tudor A, Sestan B, Legovic D, Sirola L, Rakovac I. Bone allograft provides bone healing in the medial opening high tibial osteotomy. Int Orthop. 2010;34:225–229
  30. Stoffel K, Stachowiak G, Kuster M. Open wedge high tibial osteotomy: biomechanical investigation of the modified Arthrex Osteotomy Plate (Puddu Plate) and the TomoFix Plate. Clin Biomech (Bristol, Avon). 2004;19:944–950
  31. van Raaij TM, Brouwer RW, de Vlieger R, Reijman M, Verhaar JA. Opposite cortical fracture in high tibial osteotomy: lateral closing compared to the medial opening-wedge technique. Acta Orthop. 2008;79:508–514
  32. Pape D, Adam F, Rupp S, Seil R, Kohn D. Stability, bone healing and loss of correction after valgus realignment of the tibial head. A roentgen stereometry analysis. Orthopade. 2004;33:208–217
  33. Miller BS, Dorsey WO, Bryant CR, Austin JC. The effect of lateral cortex disruption and repair on the stability of the medial opening wedge high tibial osteotomy. Am J Sports Med. 2005;33:1552–1557
  34. Nelissen EM, van Langelaan EJ, Nelissen RG. Stability of medial opening wedge high tibial osteotomy: a failure analysis. Int Orthop. 2010;34:217–223
  35. Spahn G, Mückley T, Kahl E, Hofmann GO. Biomechanical investigation of different internal fixations in medial opening-wedge high tibial osteotomy. Clin Biomech (Bristol, Avon). 2006;21:272–278
  36. Müller M, Strecker W. Arthroscopy prior to osteotomy around the knee?. Arch Orthop Trauma Surg. 2008;128:1217–1221
  37. Reischl N, Wahl P, Jacobi M, Clerc S, Gautier E, Jakob RP. Infections after high tibial open wedge osteotomy: a case control study. Arch Orthop Trauma Surg. 2008 Nov 13;Electronic publication ahead of print
  38. Rubens F, Wellington JL, Bouchard AG. Popliteal artery injury after tibial osteotomy: report of two cases. Can J Surg. 1990;33:294–297
  39. Tandon SC, Kharbanda Y, Fraser AM. Aneurysm complicating high tibial osteotomy: a case report. Acta Orthop Scand. 1996;67:73–74
  40. Sawant MR, Ireland J. Pseudo-aneurysm of the anterior tibial artery complicating high tibial osteotomy—a case report. Knee. 2001;8:247–248
  41. Shenoy PM, Oh HK, Han SB, Yoon JR, Koo JS, Nha KW, et al. Pseudoaneurysm of the popliteal artery complicating medial opening wedge high tibial osteotomy. Orthopedics. 2009;32:442–446

PII: S0968-0160(10)00113-4

doi: 10.1016/j.knee.2010.05.009

The Knee
Volume 18, Issue 4 , Pages 278-284 , August 2011