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

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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.

Copyright

Copyright: © 2021 Sarmad Rashed Khalil Sulaiman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.