Where is the Target Point to Prevent Cortical Hinge Fracture in Medial Closing-Wedge Distal Femoral Varus Osteotomy?

Kyung Wook Nha, Yong Suk Chang, Oog Jin Shon, Bum Jin Shim, Jong Seong Lee, Jun Seop Song, Ji Hoon Bae

    Research output: Contribution to journalArticlepeer-review

    6 Citations (Scopus)

    Abstract

    The purpose of this study was to investigate whether the location of the hinge affects the incidence of hinge fracture during medial closing-wedge distal femoral varus osteotomy (DFVO). Twenty knees from 10 fresh-frozen human cadavers (mean age, 75 ± 17 years) were used to perform uniplanar medial closing-wedge DFVO with a 7-mm wedge. Each specimen was randomly assigned to either group A (supracondylar hinge) or group B (lateral condylar hinge). The incidence of hinge fracture and stability was compared between both groups after uniplanar medial closing-wedge DFVO. In group A, 8 of 10 knees had a lateral cortex fracture during closure of the osteotomy gap, and all fractured knees were unstable. Two knees with an intact lateral cortical hinge showed stability under manual valgus and varus forces. After intentional breakage of the lateral cortical hinge, both knees were found to be unstable under the same force. In group B, 2 of 10 knees had a lateral cortex fracture, and 8 knees had no fractures. All specimens were found to be stable under manual valgus and varus forces. After intentional breakage of the lateral cortical hinge in group B, 2 knees were unstable, while 8 knees remained stable. This study showed a significantly higher incidence of lateral cortical hinge fracture and instability in group A than in group B during closure of the osteotomy gap.

    Original languageEnglish
    Pages (from-to)274-279
    Number of pages6
    JournalJournal of Knee Surgery
    Volume32
    Issue number3
    DOIs
    Publication statusPublished - 2019

    Keywords

    • femur
    • hinge fracture
    • knee
    • osteoarthritis
    • osteotomy

    ASJC Scopus subject areas

    • Surgery
    • Orthopedics and Sports Medicine

    Fingerprint

    Dive into the research topics of 'Where is the Target Point to Prevent Cortical Hinge Fracture in Medial Closing-Wedge Distal Femoral Varus Osteotomy?'. Together they form a unique fingerprint.

    Cite this