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Tibial Crest Osteotomy in Extensile Knee Exposure-A Modified, Low-Energy, Suture Technique
Ammar M I Abbas1, Rhodri Llywelyn L Williams1, Wasim S Khan1
1Cardiff and Vale University Health Board, University Hospital Llandough, Cardiff, United Kingdom.
The Journal of Arthroplasty
|October 3, 2015
Summary
This study introduces a novel tibial crest osteotomy technique using low-energy methods and suture repair. The innovative approach achieved 100% union rates, significantly reducing complications associated with traditional osteotomies.
Area of Science:
- Orthopedic Surgery
- Surgical Techniques
Background:
- Tibial crest osteotomy is a common knee surgical approach.
- Traditional methods face complications like mal-union, non-union, and fixation issues.
Purpose of the Study:
- To present a modified tibial crest osteotomy technique.
- To reduce complications using low-energy osteotomy and suture repair principles.
Main Methods:
- Retrospective review of 159 patients (181 osteotomies).
- Mean patient age of 66 years.
- Average follow-up of 22 months.
Main Results:
- 100% union rate achieved in all osteotomies within 11 weeks.
- Minimal complications: 3% proximal migration, 6% crest fragmentation, all with uncomplicated union.
- No extensor mechanism failure or suture material complications.
Conclusions:
- The modified tibial crest osteotomy technique yields satisfactory outcomes.
- This method effectively avoids hardware-related complications seen in conventional procedures.
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