Acta Scientific Orthopaedics (ISSN: 2581-8635)

Review Article Volume 4 Issue 1

Open Wedge High Tibial Osteotomy Distal to the Tibial Tuberosity, is it a Superior Alternative? Review of the Literature

Sarmad Rashed Khalil Sulaiman*, Naif Mohammed Al Junaid, Meshal Yousef Koshok and Rayan Mohammed Taher Al Arabi

Department of Orthopaedic Surgery, Al Madina Al Munawara Hospital, Saudi Arabia

*Corresponding Author: Sarmad Rashed Khalil Sulaiman, Department of Orthopaedic Surgery, Al Madina Al Munawara Hospital, Saudi Arabia.

Received: November 20, 2020; Published: December 10, 2020

×

Abstract

  Open wedge high tibial osteotomy is ‎a successful surgical ‎procedure for the medial compartment knee osteoarthritis. It is a highly useful method in correcting the deformity and reducing the pain for better function, therefore, potentially delaying the need for knee arthroplasty. However, changes in the patellofemoral ‎biomechanics due to patella infera could raise ‎unusual patellofemoral contact ‎pressures that generate ‎patellofemoral osteoarthritis. Furthermore, the conversion of high tibial osteotomy to total knee replacement is a technical challenge. Open wedge osteotomy distal to the tibial ‎tuberosity does not compromise the patellofemoral ‎biomechanics; therefore, could be a preferable alternative. The current literature review aims to answer the question: Is the open wedge osteotomy distal to the tibial tuberosity ‎ a superior alternative to the conventional high tibial osteotomy? There will be an evaluation of the open wedge osteotomy distal to the tibial tuberosity in comparison with the traditional open wedge osteotomy proximal to the tibial tuberosity in terms of alteration in, patellar height, patellar tilt, patellar shift, posterior tibial slope, patellofemoral arthrosis, tibial tuberosity fracture, ‎nonunion rate, the influence on subsequent total knee replacement.

Keywords: High Tibial Osteotomy; Open Wedge Osteotomy; Tibial Tubercle; Tibial Tuberosity‎; Medial Compartment Osteoarthritis; Genu Varum

×

References

  1. Ghinelli D., et al. “‎Five years of clinical and radiological results with biplanar tibial open-wedge osteotomy: feasible option to prevent patella infera?” European Journal of Orthopaedic Surgery and Traumatology (2020): 1-9.
  2. Keyhani S., et al. “‎Modified retro-tubercle opening-wedge versus conventional high tibial osteotomy”. Orthopedics2 (2011): 90.‎
  3. Birmingham TB., et al. “Medial opening wedge ‎high tibial osteotomy: a prospective cohort study of gait, radiographic, and patient‐reported outcomes”. Arthritis Care and Research: Official Journal of the American College of Rheumatology5 (2009): 648-657.‎
  4. Liu X., et al. “High tibial osteotomy: review of techniques and biomechanics”. Journal of Healthcare Engineering (2019): 1-12.
  5. Halder A., et al. “Influence of limb alignment on mediolateral loading in total knee replacement: in vivo measurements in five patients”. JBJS11 (2012): 1023-1029.‎
  6. Fujisawa YO., et al. “The effect of high tibial osteotomy on osteoarthritis of the knee. An arthroscopic study of 54 knee joints”. The Orthopedic clinics of North America3 (1979): 585‎.
  7. Zhang HN., et al. “Modified biplanar open-wedge high ‎tibial ‎osteotomy with rigid locking plate to treat varus knee”. Journal of Zhejiang University Science B9 (2009): 689-695.‎
  8. Hinterwimmer S., et al. “Control of posterior tibial slope and patellar height in open-wedge valgus high tibial osteotomy”. The American Journal of Sports Medicine 4 (2011): 851-856.
  9. Hopwood S., et al. “The biplanar open wedge high tibial osteotomy preserving the tibial ‎tubercle”. Journal of Orthopaedic Science6 (2016): 786-790.‎
  10. Krause M., et al. “Patella height is not altered by ‎descending ‎medial open-wedge high tibial osteotomy (HTO) compared to ascending HTO”. Knee Surgery, Sports Traumatology, Arthroscopy6 (2018): 1859-1866.‎
  11. Kaper BP., et al. “Patellar infera after high tibial osteotomy”. Journal of Arthroplasty ‎‎2 (2001): 168-173.‎
  12. Longino PD., et al. “Combined tibial tubercle osteotomy ‎with medial opening wedge high tibial osteotomy minimizes changes in patellar height: a ‎prospective cohort study with historical controls”. American Journal of Sports Medicine12 (2013): 2849-2857.
  13. Shim JS., et al. “High tibial open wedge osteotomy below the tibial tubercle: clinical and radiographic results”. Knee Surgery, Sports Traumatology, Arthroscopy1 (2013): 57-63.‎
  14. Horikawa T., et al. “Distal tuberosity osteotomy in open-wedge high tibial ‎osteotomy does not exacerbate patellofemoral osteoarthritis on arthroscopic evaluation”. Knee Surgery, Sports Traumatology, Arthroscopy6 (2020): 1750-1756.‎
  15. Wright JM., et al. “Observations on patellar height following opening wedge proximal tibial osteotomy”. American Journal of Knee Surgery 3 (2001): 163-173.
  16. Gaasbeek RD., et al. “Distal tuberosity ‎osteotomy ‎in open wedge high tibial osteotomy can prevent patella infera: a new technique”. Knee 6 (2004): 457-4‎‎61.‎
  17. ‎Mont MA., et al. “Total knee arthroplasty after failed high tibial osteotomy. A comparison with a matched group”. Clinical Orthopaedics and Related Research 299 (1994): 125-130.‎
  18. Haddad FS and Bentley G. “Total knee arthroplasty‎ after high tibial osteotomy: a medium-term review”. Journal of Arthroplasty 15 (2000): 597-603.‎
  19. ‎Meding JB., et al. “Total‎ knee arthroplasty after high tibial osteotomy”. Clinical Orthopaedics and Related Research 375 (2000): 175-184.‎
  20. Windsor RE., et al. “Technical considerations of total knee arthroplasty after proximal tibial osteotomy”. The Bone and Joint Journal 70A (1988): 547-555.
  21. Closkey RF and Windsor RE. “Alterations in the patella after a high tibial or distal femoral osteotomy”. Clinical Orthopaedics and Related Research 389 (2001): 51-56.
  22. Oswald MH., et al. “Radiological analysis of normal axial alignment of femur ‎and tibia in view of total knee arthroplasty”. Journal of Arthroplasty 8 (1993): 419-426.‎
  23. Park H., et al. “Open Wedge High Tibial Osteotomy with Distal Tubercle ‎Osteotomy Lessens Change in Patellar Position”. BioMed Research International 2017 (2017): 4636809. ‎
  24. Erquicia J., et al. “Biplane opening wedge ‎high tibial osteotomy with a distal tuberosity osteotomy, radiological and clinical analysis with ‎minimum follow-up of 2 years”. Journal of Experimental Orthopaedics 1 (2019): 10.‎
  25. Ogawa H., et al. “Distal tibial tubercle osteotomy is ‎superior to the proximal one for progression of patellofemoral osteoarthritis in medial opening ‎wedge high tibial osteotomy”. Knee Surgery, Sports Traumatology, Arthroscopy20 (2020): 3270-3278.‎
  26. Chae DJ., et al. “Tibial slope and patellar height after opening wedge ‎‎high tibial osteotomy using autologous tricortical iliac bone graft”. Knee 2 (2008): 128e33.‎
  27. LaPrade RF., et al. “Patellar height and tibial slope after opening-‎wedge proximal tibial osteotomy: a prospective study”. The American Journal of Sports Medicine1 (2010): 160-‎‎170.‎
  28. Feucht MJ., et al. “The role of the tibial slope in sustaining and ‎treating anterior cruciate ligament injuries”. Knee Surgery, Sports Traumatology, Arthroscopy1 (2013): 134-145 .
  29. ‎Noyes FR., et al. “The early diagnosis and treatment of developmental patella infera ‎syndrome”. Clinical Orthopaedics and Related Research 265 (1991): 241-252.‎
  30. Hernigou P. “Open wedge tibial osteotomy: combined coronal and sagittal correction”. Knee 9 (2002): 15-20.‎
  31. Song EK., et al. “How to avoid unintended increase of posterior slope in navigation-assisted open-wedge high tibial ‎osteotomy”. Orthopedics 10 (2007): 127-131.‎
  32. Sariali E and Catonne Y. “Modification of tibial slope after medial opening wedge high tibial osteotomy: clinical study and mathematical ‎modelling”. Knee Surgery, Sports Traumatology, Arthroscopy 17 (2009): 1172-1177.‎
  33. Gaasbeek R., et al. “The influence of open and closed high tibial osteotomy on dynamic patellar tracking: a biomechanical study”. Knee Surgery, Sports Traumatology, Arthroscopy8 (2007): 978-984.
  34. Jang KM., et al. “Unintended Rotational Changes of the Distal Tibia After ‎Biplane Medial Open-Wedge High Tibial Osteotomy”. Journal of Arthroplasty1 (2016): 59-63. ‎
  35. Hinterwimmer S., et al. “Analysis of the effects of high tibial osteotomy on tibial rotation”. International orthopaedics9 (2016): 1849-1854.
  36. Stoffel K., et al. “Patellofemoral contact pressure following high tibial osteotomy: a ‎cadaveric study”. Knee Surgery, Sports Traumatology, Arthroscopy9 (2007): 1094-1100.‎
  37. Kloos F., et al. “High tibial ‎osteotomy increases patellofemoral pressure if adverted proximal, while open-wedge HTO ‎with distal biplanar osteotomy discharges the patellofemoral joint: different open-wedge high ‎tibial osteotomies compared to an extra-articular unloading device”. Knee Surgery, Sports Traumatology, Arthroscopy7 (2019): 2334-2344.‎
  38. Hooper G., et al. “Oblique upper tibial opening wedge osteotomy for ‎genu varum”. Operative Orthopädie und Traumatologie 6 (2005): 662-673.‎
  39. Stoffel K., et al. “Patellofemoral contact pressure following high tibial osteotomy: a cadaveric study”. Knee Surgery, Sports Traumatology, Arthroscopy9 (2007): 1094-1100.
  40. Tian X., et al. “Distal tibial tuberosity ‎high tibial osteotomy using an image ‎enhancement technique for orthopedic scans in the ‎treatment of medial compartment knee osteoarthritis”. ‎ Computer Methods and Programs in Biomedicine ‎‎191 (2020): 105349.‎
  41. Nha KW., et al. “Uniplane medial opening wedge high tibial ‎osteotomy relative to a biplane osteotomy can reduce the incidence of lateral-hinge fracture”. Knee Surgery, Sports Traumatology, Arthroscopy5 (2020): 1436-1444.
  42. Nakamura R., et al. “Appropriate hinge ‎position for prevention of unstable lateral hinge fracture in open wedge high tibial osteotomy”. The Bone and Joint Journal 10 (2017): 1313-1318.‎
×

Citation

Citation: Sarmad Rashed Khalil Sulaiman., et al. “Open Wedge High Tibial Osteotomy Distal to the Tibial Tuberosity, is it a Superior Alternative? Review of the Literature".Acta Scientific Orthopaedics 4.1 (2021): 03-10.




Metrics

Acceptance rate33%
Acceptance to publication20-30 days

Indexed In



News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is June 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US