High tibial valgus osteotomy

The most common type of osteotomy carried out around the knee is on the upper shin or proximal tibia. The operation involves cutting the shin bone (tibia) just below the knee joint via either the opening wedge or closing wedge techniques that I went though in Part 1e of this course.The newer computer software identifies exactly where the bone cuts need to be made, the exact amount of correction required and the relative contribution of the tibia and femur to the deformity.What we have found since using the computer to plan our osteotomies it is not as straightforward as a lot of surgeons believe.is a website dedicated to patients who need orthopaedic surgery, and to every person concerned by orthopedic cares (nurse, physiotherapist, etc).An opening wedge osteotomy involves making a single cut in the tibia and creating a gap, which in time heals with new bone.The image on the right of an opening wedge high tibial osteotomy fixed with the Tomofix plate is reproduced with the permission of Synthes.So they draw that in on the long leg film and then calculate a correction angle from that.You will find technical informations on surgery by mean of articles published and also pre, per and post-operative informations you need before your hospitalisation.Prior to surgery, alignment X-rays are taken and entered into a computer programme, which calculates the amount of realignment required on each bone.And that is how surgeons have been planning their osteotomies for ages.In varus mal-alignment that line will be going through on the medial compartment of the knee.The page news will give you updated informations and much debated questions in orthopaedic fields.The image on the left shows the long leg X-ray with the computer generated marks where the bone cuts need to be made.

They look at the long leg X-rays of the knee so they draw the lines on the X-rays using the old fashioned Miniacci technique, connecting the centre of the hip to the centre of the ankle.Some of the deformity may be in the femur and some of the deformity may be in the tibia, or all of the deformity may be in the tibia (the most common) or all of the deformity may be in the femur.Varus and valgus osteotomy involves cutting the upper or proximal tibia (shin bone) or less commonly lower femur (thigh bone).This website is specialised in Hip and Knee surgery, and sports traumatology.What this manual calculation technique doesn’t really do is that it doesn’t tell us the deformity is.


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