Unintended Rotational Changes of the Distal Tibia After Biplane Medial Open-Wedge High Tibial Osteotomy

Ki Mo Jang, Jong Hee Lee, Hyung Jun Park, Jeong Lae Kim, Seung Beom Han

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

This study involved 35 knees undergoing biplane medial open-wedge high tibial osteotomy (OWHTO) to assess the axial rotation of the distal tibia. The distal tibiae were internally rotated by 3.0° ± 7.1° after OWHTO. The opening width showed a Pearson correlation coefficient of -0.743 (P < .001), and the tuberosity osteotomy angle showed that of -0.678 (P < .001) with distal tibial rotation. However, changes in hip-knee-ankle angle, medial proximal tibial angle, and posterior tibial slope were not significantly correlated with the change in distal tibial rotation. In conclusion, there was an unintended tendency of increasing internal rotation of the distal tibia after biplane medial OWHTO, and this tendency was positively related to the opening width and tuberosity osteotomy angle.

Original languageEnglish
Pages (from-to)59-63
Number of pages5
JournalJournal of Arthroplasty
Volume31
Issue number1
DOIs
Publication statusPublished - 2016 Jan 1

Keywords

  • Distal tibial rotation
  • High tibial osteotomy
  • Knee
  • Medial compartmental osteoarthritis
  • Opening width
  • Tuberosity osteotomy angle

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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