Related Experiment Video
Updated: Apr 1, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
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.
Background:
Tibial crest osteotomy is an established extensile knee approach. Complications include mal-union, non-union, and fixation problems.We have designed a technique aimed at reducing complications through the principles of low-energy osteotomy and suture repair.
Methods:
We reviewed our clinical and radiological results in 159 consecutive patients 181 osteotomies with a mean age of 66 years, and an average follow up of 22 months.
Results:
Union occurred in all osteotomies (100%) at a mean period of 11 weeks. Proximal migration averaging 11.5 mm occurred in 6 osteotomies (3%). Crest fragmentation occurred in 11 osteotomies (6%), with all cases resulting in uncomplicated union. No extensor mechanism failure or complications related to the suture material occurred.
Conclusion:
We conclude that this technique results in satisfactory outcomes whilst avoiding hardware-related problems.
Related Concept Videos
Bones of the Lower Limb: Tibia and Fibula
Knee Joint
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
Bones of the Lower Limb: Femur and Patella

