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Journal of Bone and Joint Surgery - British Volume, Vol 90-B, Issue 12, 1548-1557.
doi: 10.1302/0301-620X.90B12.21198  
Copyright © 2008 by British Editorial Society of Bone and Joint Surgery
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Osteotomies around the knee

PATIENT SELECTION, STABILITY OF FIXATION AND BONE HEALING IN HIGH TIBIAL OSTEOTOMIES

J.-M. Brinkman, MD, Orthopaedic Resident1; P. Lobenhoffer, MD, PhD, Professor2; J. D. Agneskirchner, MD, PhD, Orthopaedic Surgeon2; A. E. Staubli, MD, Orthopaedic Surgeon3; A. B. Wymenga, MD, PhD, Orthopaedic Surgeon1; and R. J. van Heerwaarden, MD, PhD, Orthopaedic Surgeon1

1 Department of Orthopaedics Limb Deformity Reconstruction Unit, Sint Maartenskliniek, Hengstdal 3, 6522 JV, Nijmegen, The Netherlands.
2 Klinik für Unfall-und Wiederherstellungschirurgie, Henriettenstiftung Hannover, Marienstrasse 72-90, 30171 Hannover, Germany.
3 Klinik für Orthopädie, Luzern Kantonsspital 6000, Luzern 61, Switzerland.

Correspondence should be sent to Dr R. J. van Heerwaarden; e-mail: r.vanheerwaarden{at}maartenskliniek.nl

New developments in osteotomy techniques and methods of fixation have caused a revival of interest of osteotomies around the knee. The current consensus on the indications, patient selection and the factors influencing the outcome after high tibial osteotomy is presented. This paper highlights recent research aimed at joint pressure redistribution, fixation stability and bone healing that has led to improved surgical techniques and a decrease of post-operative time to full weight-bearing.




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[Abstract] [Full Text] [PDF]

eLetters:

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Osteotomies around the knee - stimulation of bone healing in opening-wedge osteotomies
A. Ludwig Meiss
J Bone Joint Surg Br Online, 14 Jan 2009 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General