二重内反変形および脛骨後方傾斜増加に対する内側開大楔状高位脛骨骨切り術

Wolf Petersen¹, Yizhou Ge¹, Amelie Klaumünzer¹

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

|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.

キーワード:

高位脛骨骨切り術二重内反変形脛骨後方傾斜膝関節整形外科

さらに関連する動画

07:33

In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty

Published on: May 5, 2023

1.0K

08:15

Three-Dimensional Preoperative Virtual Planning in Derotational Proximal Femoral Osteotomy

Published on: February 17, 2023

1.4K

関連する概念動画

01:10

Bones of the Lower Limb: Tibia and Fibula

8.9K

The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...

8.9K