Electronic Resource

The effect of the distance between the end point of the osteotomy and the lateral cortex on the lateral cortical hinge fracture in medial opening-wedge high tibial osteotomy

التفاصيل البيبلوغرافية
العنوان: The effect of the distance between the end point of the osteotomy and the lateral cortex on the lateral cortical hinge fracture in medial opening-wedge high tibial osteotomy
المؤلفون: Demir T., Bilge O., Elibol F.K.E., Özer M., Kaçira B.K., Türkmen F.
بيانات النشر: Elsevier Ltd 2022-11-30T19:27:44Z 2022-11-30T19:27:44Z 2022
نوع الوثيقة: Electronic Resource
مستخلص: Background The purpose of this study was to compare the effects of different distances between the end point of the osteotomy and the lateral cortex on the risk of lateral cortical fracture in the medial opening-wedge high tibial osteotomy (MOWHTO) procedure. Methods Eighteen synthetic tibia models were used. Saw cuts were performed on the test models (n=6 for all groups). Wedge gap distance and wedge opening load were evaluated using compression tests. Findings The mean maximum gap distance without a lateral cortical fracture was 19.90 mm in Group 5, 15.49 mm in Group 10, and 11.23 mm in Group 15. The differences between Group 5 and Group 10, Group 5 and Group 15, and Group 10 and Group 15 were statistically significant. The mean load just before the fracture was 13.24 N in Group 5, 18.31 N in Group 10, and 26.16 N in Group 15. The difference between Group 5 and Group 15 was statistically significant. No significant difference was observed between Group 10 and both Group 5 and Group 15. Interpretation As the end point of the osteotomy is brought gradually closer to the lateral cortex, wider gaps can be opened without a lateral cortical fracture. Thus, higher angle corrections can be achieved more safely by bringing the end point of the osteotomy closer to the lateral cortex, which should be preferred to reduce the risk of a lateral cortical hinge fracture during the MOWHTO procedure, from a clinical viewpoint. © 2022
مصطلحات الفهرس: End point of the osteotomy, High tibial osteotomy, Lateral cortical hinge fracture, Medial opening wedge, Article
URL: https://hdl.handle.net/20.500.11851/9084
https://doi.org/10.1016/j.injury.2022.08.071
Injury
Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
الاتاحة: Open access content. Open access content
none
ملاحظة: English
Other Numbers: TRTET oai:gcris.etu.edu.tr:20.500.11851/9084
0020-1383
WOS:000893259500009
2-s2.0-85138583710
10.1016/j.injury.2022.08.071
Q1
1426269606
المصدر المساهم: TOBB EKONOMI VE TEKNOLOJI UNIV
From OAIster®, provided by the OCLC Cooperative.
رقم الانضمام: edsoai.on1426269606
قاعدة البيانات: OAIster