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Application of a New M-shaped High Tibial Osteotomy Method: A Technical Note

  • Surgical Technique
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Abstract

High tibial osteotomy (HTO) is used as an alternative to total knee arthroplasty in young patients with knee osteoarthritis. In the conventional HTO, if the distraction distance is large, the osteotomy section will be significantly separated, forming a large bone defect gap, which may lead to delayed healing or even nonunion. We treated a series of 10 patients with medial knee osteoarthritis by a novel M-shaped high tibial osteotomy. This helped to improve greater contact of cortical sections and rapid healing of the osteotomy break. Over a mean follow-up period of 8.5 months (range, 6.0–12.0 months), all patients achieved bone union. None of the patients showed complications such as nonunion or infection. The novel M-shaped HTO procedure can reduce the probability of delayed union/nonunion and avoid the complications associated with bone grafting. Hence, this technique may be an effective alternative for the HTO.

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References

  1. Jackson, J. P. (1958). Osteotomy for osteoarthritis of the knee. In proceedings of the Sheffield regional orthopaedic club. The Journal of Bone and Joint Surgery, 40, 826.

    Google Scholar 

  2. Gama, D. F., Cabral, J., Vale, M., Freitas, R. T., & Varatojo, R. (2019). Dome-shaped osteotomy for revision of failed closing-wedge high tibial osteotomy orthopaedic. Journal of Sports Medicine, 7(7), 2325967119857047.

    Google Scholar 

  3. Presutti, M., Goderecci, R., Palumbo, P., Giannetti, A., Mazzoleni, M. G., Randelli, F. M. N., Angelozzi, M., Calvisi, V., & Fidanza, A. (2021). A novel biplanar medial opening-wedge high tibial osteotomy: The Z-shaped technique. A case series at 72 years follow-up. Journal of Orthopaedics and Traumatology, 22(1), 53.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Wang, Z., Zeng, Y., She, W., Luo, X., & Cai, L. (2018). Is opening-wedge high tibial osteotomy superior to closing-wedge high tibial osteotomy in treatment of unicompartmental osteoarthritis? A meta-analysis of randomized controlled trials. International Journal of Surgery, 60, 153–163.

    Article  PubMed  Google Scholar 

  5. Atrey, A., Morison, Z., Tosounidis, T., Tunggal, J., & Waddell, J. P. (2012). Complications of closing wedge high tibial osteotomies for unicompartmental osteoarthritis of the knee. Bone Joint Res, 1(9), 205–209.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Sundaram, N. A., Hallett, J. P., & Sullivan, M. F. (2020). Dome osteotomy of the tibia for osteoarthritis of the knee. The Journal of Bone and Joint Surgery, 38(1), 83–86.

    Google Scholar 

  7. Martin, R., Birmingham, T. B., Willits, K., Litchfield, R., Lebel, M. E., & Giffin, J. R. (2014). Adverse event rates and classifications in medial opening wedge high tibial osteotomy. American Journal of Sports Medicine, 42(5), 1118–1126.

    Article  PubMed  Google Scholar 

  8. Aryee, S., Imhoff, A. B., Rose, T., & Tischer, T. (2008). Do we need synthetic osteotomy augmentation materials for opening-wedge high tibial osteotomy. Biomaterials, 29(26), 3497–3502.

    Article  CAS  PubMed  Google Scholar 

  9. El-Assal, M. A., Khalifa, Y. E., Abdel-Hamid, M. M., Said, H. G., & Bakr, H. M. (2010). Opening-wedge high tibial osteotomy without bone graft. Knee Surgery, Sports Traumatology, Arthroscopy, 18(7), 961–966.

    Article  PubMed  Google Scholar 

  10. Slevin, O., Ayeni, O. R., Hinterwimmer, S., Tischer, T., Feucht, M. J., & Hirschmann, M. T. (2016). The role of bone void fillers in medial opening wedge high tibial osteotomy: A systematic review. Knee Surgery, Sports Traumatology, Arthroscopy, 24(11), 3584–3598.

    Article  PubMed  Google Scholar 

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Acknowledgements

We thank the whole team for their selfless dedication.

Funding

No funds, grants, or other support was received.

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Author notes

  1. Dejun Liu, Hongyuan Liu, Yuanguo Li and Guoliang Zhang are considered joint first author.

Authors and Affiliations

  1. Department of Orthopaedics, Tengzhou Cengde Department of Orthopedics Hospital, Zaozhuang, 277000, Shandong, China

    Dejun Liu, Yuanguo Li, Guoliang Zhang & Wenguang Li

  2. Department of Orthopaedics, The Affiliated People’s Hospital of Jiangsu University, Zhenjiang, 212000, Jiangsu, China

    Hongyuan Liu & Xiang Yao

  3. Jiangsu University, Zhenjiang, 212000, Jiangsu, China

    Hongyuan Liu

  4. Department of Orthopaedics, Qidong Hospital of Traditional Chinese Medicine, Nantong, 226200, Jiangsu, China

    Jilei Tang

Authors
  1. Dejun Liu
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  2. Hongyuan Liu
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  3. Yuanguo Li
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  4. Guoliang Zhang
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  5. Wenguang Li
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  6. Xiang Yao
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  7. Jilei Tang
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Contributions

DL: Performed the methodology, Wrote the original draft of the manuscript. HL: Investigation and Wrote, Reviewed and edited the manuscript. YL: Reviewed and edited the manuscript. GZ: Curated the data. WL: Curated the data. XY: Performed the visualization. JT: Carried out the project administration.

Corresponding author

Correspondence to Jilei Tang.

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Conflict of Interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest in the subject matter or materials discussed in this manuscript.

Ethical Approval

This retrospective study has been approved by the ethical committee of the Affiliated People’s Hospital of Jiangsu university.

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Informed consent was obtained from all individual participants included in the study.

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Not applicable.

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Data supporting the study is available upon reasonable request from the authors.

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Liu, D., Liu, H., Li, Y. et al. Application of a New M-shaped High Tibial Osteotomy Method: A Technical Note. JOIO 57, 1153–1157 (2023). https://doi.org/10.1007/s43465-023-00904-8

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  • DOI: https://doi.org/10.1007/s43465-023-00904-8

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