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Osteotomía alta de tibia con apertura medial en cuña para deformidad varo doble y aumento de la pendiente tibial

Wolf Petersen¹, Yizhou Ge¹, Amelie Klaumünzer¹

¹Department for Orthopedics and Trauma Surgery, Martin Luther Hospital Berlin, Berlin, Germany.

Arthroscopy techniques

|January 16, 2026

Abstract:

The goal of the modified medial open-wedge high tibial osteotomy is the combined correction of a double varus deformity (mechanical medial proximal tibia angle <84°, joint line convergence angle >2°) and an increased posterior tibial slope >12°. This goal can be achieved through a few modifications to the standard biplanar medial open-wedge high tibial osteotomy technique. These modifications include (1) positioning of the hinge anterolaterally and above the fibula, (2) removing a small anterior wedge, and (3) using Schanz screws to facilitate slope correction. Osteosynthesis is performed with a locking plate. Rehabilitation involves 6 weeks of partial weight-bearing and free range of motion.

Palabras clave:

osteotomía alta de tibia deformidad varo doble pendiente tibial posterior cirugía de rodilla reconstrucción esquelética

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