Distal tuberosity osteotomy in open wedge high tibial osteotomy can prevent patella infera: a new technique

R D A Gaasbeek; H Sonneveld; R J van Heerwaarden; W C H Jacobs; A B Wymenga

doi:10.1016/j.knee.2004.02.002

Distal tuberosity osteotomy in open wedge high tibial osteotomy can prevent patella infera: a new technique

Knee. 2004 Dec;11(6):457-61. doi: 10.1016/j.knee.2004.02.002.

Authors

R D A Gaasbeek¹, H Sonneveld, R J van Heerwaarden, W C H Jacobs, A B Wymenga

Affiliation

¹ Department of Orthopaedic Surgery, Limb Deformity Reconstruction Unit, Sint Maartenskliniek, P.O. Box 9011, 6500 GM Nijmegen, The Netherlands.

PMID: 15581764
DOI: 10.1016/j.knee.2004.02.002

Abstract

To prevent patella infera in open wedge high tibial osteotomy, a new operation technique was developed. Instead of a proximal tibial tuberosity osteotomy, a distal osteotomy was performed and the tuberosity was fixed with one screw to the tibia. Initial experience in 17 patients was evaluated and compared with results of 20 patients with open wedge high tibial osteotomy with proximal tuberosity osteotomy. Distal tuberosity osteotomy in open wedge high tibial osteotomy appears effective in preventing patella infera.

MeSH terms

Adult
Bone Plates
Bone Screws
Bone Substitutes / therapeutic use
Calcium Phosphates / therapeutic use
Case-Control Studies
Female
Humans
Male
Middle Aged
Osteoarthritis, Knee / surgery
Osteotomy / methods*
Patella / anatomy & histology*
Postoperative Complications / prevention & control*
Tibia / surgery*
Treatment Outcome

Substances

Bone Substitutes
Calcium Phosphates
tricalcium phosphate