Unintended Rotational Changes of the Distal Tibia After Biplane Medial Open-Wedge High Tibial Osteotomy
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- 作者：Ki-Mo Jang ; MD ; PhD ; Jong-Hee Lee ; MD ; Hyung-Jun Park ; MD ; Jeong Lae Kim ; MD ; Seung-Beom Han ; MD ; PhD
- 关键词：high tibial osteotomy ; distal tibial rotation ; knee ; medial compartmental osteoarthritis ; opening width ; tuberosity osteotomy angle
- 刊名：The Journal of Arthroplasty
- 出版年：2016
- 出版时间：January 2016
- 年：2016
- 卷：31
- 期：1
- 页码：59-63
- 全文大小：491 K
文摘
This study involved 35 knees undergoing biplane medial open-wedge high tibial osteotomy (OWHTO) to assess the axial rotation of the distal tibia. The distal tibiae were internally rotated by 3.0° ± 7.1° after OWHTO. The opening width showed a Pearson correlation coefficient of −0.743 (P < .001), and the tuberosity osteotomy angle showed that of −0.678 (P < .001) with distal tibial rotation. However, changes in hip-knee-ankle angle, medial proximal tibial angle, and posterior tibial slope were not significantly correlated with the change in distal tibial rotation. In conclusion, there was an unintended tendency of increasing internal rotation of the distal tibia after biplane medial OWHTO, and this tendency was positively related to the opening width and tuberosity osteotomy angle.