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

doi:10.1016/j.arth.2015.08.010

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 journal › Article › peer-review

28 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 language	English
Pages (from-to)	59-63
Number of pages	5
Journal	Journal of Arthroplasty
Volume	31
Issue number	1
DOIs	https://doi.org/10.1016/j.arth.2015.08.010
Publication status	Published - 2016 Jan 1
Externally published	Yes

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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10.1016/j.arth.2015.08.010

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

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.",

keywords = "Distal tibial rotation, High tibial osteotomy, Knee, Medial compartmental osteoarthritis, Opening width, Tuberosity osteotomy angle",

author = "Jang, {Ki Mo} and Lee, {Jong Hee} and Park, {Hyung Jun} and Kim, {Jeong Lae} and Han, {Seung Beom}",

note = "Publisher Copyright: {\textcopyright} 2016 Elsevier Inc.",

year = "2016",

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doi = "10.1016/j.arth.2015.08.010",

language = "English",

volume = "31",

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T1 - Unintended Rotational Changes of the Distal Tibia After Biplane Medial Open-Wedge High Tibial Osteotomy

AU - Jang, Ki Mo

AU - Lee, Jong Hee

AU - Park, Hyung Jun

AU - Kim, Jeong Lae

AU - Han, Seung Beom

PY - 2016/1/1

Y1 - 2016/1/1

N2 - 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.

AB - 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.

KW - Distal tibial rotation

KW - High tibial osteotomy

KW - Knee

KW - Medial compartmental osteoarthritis

KW - Opening width

KW - Tuberosity osteotomy angle

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JF - Journal of Arthroplasty

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ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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