Results of the Intraligamentous Open Wedge Osteotomy of the Proximal Tibia (Elevating Osteotomy)

Walter, E.; Holz, U.

doi:10.1007/978-3-642-70774-2_28

E. Walter &
U. Holz

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Abstract

We consider the intraligamentous open wedge osteotomy of the proximal tibia as described by Debyere [2] and Dolanc [3] to be the treatment of choice for genu varum and genu valgum deformities with associated ligamentous instability. In addition to realigning the limb, this operation also restores tension to lax ligaments and obviates the need for a separate ligament-tightening procedure like that necessary after the wedge osteotomy of Coventry [1]. Compared with the lateral side of the knee, where the collateral ligament inserts into the fibular head no more than 2 cm from the joint line, the medial tibial condyle offers a “clearance” of 4–6 cm for performing the osteotomy [4].

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References

Coventry MB (1973) Osteotomy about the knee for degenerative and rheumatoid arthritis. J Bone Joint Surg [Am] 55 /1: 23
CAS Google Scholar
Debeyre J, Artigou JM (1972) Résultat à distance de 260 ostéotomies tibiales pour deviation frontale du genou, Ref Chir Orthop 58: 355
Google Scholar
Dolanc B (1973) Die Behandlung des instabilen Kniegelenks mit Achsenfehlstellung durch die intraligamentäre Anhebe-Tibiaosteotomie. Arch Orthop Unfallchir 76: 280
Article PubMed CAS Google Scholar
Hattab A, Lauttamus L (1976) Die proximale Tibiaosteotomie bei Behandlung der Arthrosis deformans des Kniegelenks. Z Orthop 114: 773
PubMed CAS Google Scholar
Maquet P (1979) Korrekturosteotomien in der Behandlung der Kniegelenks-arthrose. Orthopäde 8: 296
PubMed CAS Google Scholar
Richter R (1974) Erfahrungen mit der Tibiakopfosteotomie bei Gonarthrosen. Arch Orthop Unfallchir 80: 107
PubMed CAS Google Scholar
Wagner h (1976) Indikation und Technik der Korrekturosteotomien bei der posttraumatischen Kniegelenksarthrose. Hefte Unfallheilk 128: 155
PubMed Google Scholar
Zilch H, Adlkofer M, Groher W, Friedebold G (1978) Umstellungsosteotomien am Schienbeinkopf ( Indikation, Technik und Ergebnisse). Unfallheilkunde 81: 642
Google Scholar

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Authors

E. Walter
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U. Holz
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Editors and Affiliations

Großenbaumer Allee 250, D-4100, Duisburg, Germany
G. Hierholzer (Professor Dr. med., Ärztlicher Direktor der Berufsgenossenschaftlichen Unfallklinik Duisburg-Bucholz) (Professor Dr. med., Ärztlicher Direktor der Berufsgenossenschaftlichen Unfallklinik Duisburg-Bucholz)
Universitätsklinik und Poliklinik, Hunscheidtstraße 1, D-4630, Bochum, Germany
K. H. Müller (Priv.-Doz. Dr. med., Erster Oberarzt der Berufsgenossenschaftlichen Krankenanstalten „Bergmannsheil Bochum“) (Priv.-Doz. Dr. med., Erster Oberarzt der Berufsgenossenschaftlichen Krankenanstalten „Bergmannsheil Bochum“)

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Walter, E., Holz, U. (1985). Results of the Intraligamentous Open Wedge Osteotomy of the Proximal Tibia (Elevating Osteotomy). In: Hierholzer, G., Müller, K.H. (eds) Corrective Osteotomies of the Lower Extremity after Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70774-2_28

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DOI: https://doi.org/10.1007/978-3-642-70774-2_28
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-70776-6
Online ISBN: 978-3-642-70774-2
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