Tibial crest osteotomy in extensile knee exposure—a modified, low-energy, suture technique
AMI Abbas, RLL Williams, WS Khan, A Ghandour… - The Journal of …, 2016 - Elsevier
AMI Abbas, RLL Williams, WS Khan, A Ghandour, RL Morgan-Jones
The Journal of arthroplasty, 2016•ElsevierBackground Tibial crest osteotomy is an established extensile knee approach.
Complications include mal-union, non-union, and fixation problems. We have designed a
technique aimed at reducing complications through the principles of low-energy osteotomy
and suture repair. Methods We reviewed our clinical and radiological results in 159
consecutive patients 181 osteotomies with a mean age of 66 years, and an average follow
up of 22 months. Results Union occurred in all osteotomies (100%) at a mean period of 11 …
Complications include mal-union, non-union, and fixation problems. We have designed a
technique aimed at reducing complications through the principles of low-energy osteotomy
and suture repair. Methods We reviewed our clinical and radiological results in 159
consecutive patients 181 osteotomies with a mean age of 66 years, and an average follow
up of 22 months. Results Union occurred in all osteotomies (100%) at a mean period of 11 …
Background
Tibial crest osteotomy is an established extensile knee approach. Complications include mal-union, non-union, and fixation problems.We have designed a technique aimed at reducing complications through the principles of low-energy osteotomy and suture repair.
Methods
We reviewed our clinical and radiological results in 159 consecutive patients 181 osteotomies with a mean age of 66 years, and an average follow up of 22 months.
Results
Union occurred in all osteotomies (100%) at a mean period of 11 weeks. Proximal migration averaging 11.5 mm occurred in 6 osteotomies (3%). Crest fragmentation occurred in 11 osteotomies (6%), with all cases resulting in uncomplicated union. No extensor mechanism failure or complications related to the suture material occurred.
Conclusion
We conclude that this technique results in satisfactory outcomes whilst avoiding hardware-related problems.
Elsevier
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