Proximal Tibial Osteotomy

Proximal Tibial Opening Wedge Osteotomy…Knee Instability


Authors:

Ariel N. Rodriguez, M.S., Foley Schreier, B.S., Gregory B. Carlson, M.D., and Robert F. LaPrade, M.D., Ph.D.

Abstract:

Decreased posterior tibial slope has been associated with increased risk of graft failure and knee instability after posterior cruciate ligament (PCL) reconstruction. Premature physeal arrest at the tibial tubercle is a common cause of osseous genu recurvatum. […]

Proximal Tibial Opening Wedge Osteotomy…Knee Instability

Tibial Tubercle Preserving Wedge for Increased Posterior Tibial Slope


Authors:

Edward R. Floyd, M.D., Gregory B. Carlson, M.D., Jill Monson, P.T., O.C.S., and Robert F. LaPrade, M.D., Ph.D.

Abstract:

Anterior cruciate ligament reconstruction (ACLR) failure is multifactorial, but it is known that increased posterior tibial slope (PTS) leads to a greater  likelihood of ACLR failure. This technical note describes the senior author’s technique for performing […]

Tibial Tubercle Preserving Wedge for Increased Posterior Tibial Slope

Proximal Tibiofibular Reconstruction in Adolescent Patients

2018 Arthroscopy Techniques

Instability of the proximal tibiofibular joint (PTFJ) can present as frank dislocations, vague symptoms of lateral knee pain, discomfort during activity, or symptoms related to irritation of the common peroneal nerve. An accurate preoperative diagnosis is imperative and should include a trial of taping of the PTFJ […]

Proximal Tibiofibular Reconstruction in Adolescent Patients

Quantitative radiographic assessment of the anatomic attachment sites of the anterior and posterior complexes of the proximal tibiofibular joint

KSSTA 2017

Radiographic identification of the anatomic attachment sites of knee ligament structures allows surgeons to obtain an accurate diagnosis and treatment of knee injuries. The previous studies have provided quantitative and radiographic data for other ligaments, which has aided surgeons in intraoperative tunnel placement and postoperative assessment of […]

Quantitative radiographic assessment of the anatomic attachment sites of the anterior and posterior complexes of the proximal tibiofibular joint

Opening and Closing Wedge Distal Femoral Osteotomy


OJSM 2016

Background: Lateral compartment osteoarthritis of the knee can be a challenging pathology in the younger, active population due to limited treatment options and high patient expectations. Distal femoral osteotomy (DFO) has been reported to be a potential treatment option.

Purpose: To perform a systematic review on the survival, outcomes, and complications of DFO for […]

Opening and Closing Wedge Distal Femoral Osteotomy

Clinical Outcomes of High Tibial Osteotomy for Knee Instability


OJSM 2016

In recent years there has been an increasing interest in high tibial osteotomy (HTO) to treat patients with chronic knee instability due to posterolateral corner (PLC), posterior cruciate ligament (PCL), and anterior cruciate ligament (ACL) insufficiencies with concurrent malalignment in the coronal and/or sagittal plane.

The purpose of this study was to perform a systematic […]

Clinical Outcomes of High Tibial Osteotomy for Knee Instability

Trochlear Dysplasia and the Role of Trochleoplasty

CLINICS IN SPORTS MEDICINE 2014

It is estimated that 5.8 cases per 100,000 individuals report primary patellar dislocation. Patients between 10 to 17 years of age increase the incidence of patellar dislocation to 29 cases per 100,000 individuals. Recurrent dislocations reportedly occur in 17% of all cases following a primary dislocation event. After a second dislocation, […]

Trochlear Dysplasia and the Role of Trochleoplasty

Prospective Outcomes of Young and Middle-Aged Adults With Medial Compartment Osteoarthritis Treated With a Proximal Tibial Opening Wedge Osteotomy

JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY 2011

The purpose of this study was to conduct a prospective outcome analysis of proximal tibial opening wedge osteotomies performed in young and middle-aged patients (aged < 55 years) for the treatment of symptomatic medial compartment osteoarthritis of the knee.

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Prospective Outcomes of Young and Middle-Aged Adults With Medial Compartment Osteoarthritis Treated With a Proximal Tibial Opening Wedge Osteotomy

Patellar Height and Tibial Slope After Opening-Wedge Proximal Tibial Osteotomy

AJSM 2010

Further knee surgery after proximal tibial osteotomies has been reported to have a more difficult surgical exposure due to decreased patellar height after the osteotomy. Although a decrease in patellar height has been reported for closing-wedge proximal tibial osteotomies, it has not been widely verified among opening-wedge procedures.

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Patellar Height and Tibial Slope After Opening-Wedge Proximal Tibial Osteotomy
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