The correlation of sagittal osteotomy inclination and the anteroposterior translation in medial open-wedge high tibial osteotomy —one of the causes affecting the patellofemoral joint?

ConclusionHigh rates of anterior-inclined osteotomy have been described previously as well as in this study. Anterior-inclined osteotomy tends to result in the anterior translation of the proximal fragment. This may result in increased vertical vector force onto the patellofemoral joint, which further accelerates patellofemoral joint degeneration. Therefore, surgeons should attempt to perform parallel osteotomy or avoid anterior displacement of the proximal fragment if there is concern of anterior-inclined osteotomy.

Source: International Orthopaedics - February 28, 2019 Category: Orthopaedics Source Type: research