Soft-Tissue Management and Neurovascular Protection During Opening-Wedge High Tibial Osteotomy - Aix-Marseille Université Access content directly
Journal Articles Arthroscopy Techniques Year : 2021

Soft-Tissue Management and Neurovascular Protection During Opening-Wedge High Tibial Osteotomy

Abstract

Medial opening-wedge high tibial osteotomy (OW-HTO) is an excellent surgical option for patients with varus knee osteoarthritis. Medial collateral ligament (MCL) release and posterior neurovascular structure protection during OW-HTO are steps that often induce stress and nervousness during surgery, especially for surgeons in the earlier stages of their learning curve. While is it well-known that the MCL should be released during OW-HTO, the standard retraction techniques pose challenges in visualization and instrument placement in the surgical field. We present our technique, which illustrates an alternative method to manage the MCL and safely protect the neurovascular structures using a second and more posterior surgical window during OW-HTO.
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Origin : Publication funded by an institution

Dates and versions

hal-03245875 , version 1 (02-06-2021)

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Attribution - NonCommercial - NoDerivatives

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Kristian Kley, Hamid Rahmatullah Bin Abd Razak, Raghbir S Khakha, Adrian J Wilson, Ronald van Heerwaarden, et al.. Soft-Tissue Management and Neurovascular Protection During Opening-Wedge High Tibial Osteotomy. Arthroscopy Techniques, 2021, 10, pp.e419 - e422. ⟨10.1016/j.eats.2020.10.020⟩. ⟨hal-03245875⟩
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