Comparison of monoplanar versus biplanar medial opening-wedge high tibial osteotomy techniques for preventing lateral cortex fracture

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dc.contributor.authorTurkmen, Faik
dc.contributor.authorKacira, Burkay K.
dc.contributor.authorOzkaya, Mustafa
dc.contributor.authorErkocak, Omer F.
dc.contributor.authorAcar, Mehmet A.
dc.contributor.authorOzer, Mustafa
dc.contributor.authorToker, Serdar
dc.date.accessioned2024-02-23T13:43:30Z
dc.date.available2024-02-23T13:43:30Z
dc.date.issued2017
dc.departmentNEÜen_US
dc.description.abstractThe purpose of this study was to investigate the mechanical strength of both monoplanar and biplanar medial opening-wedge high tibial osteotomy (MOWHTO) procedures and assess the risk of lateral cortex disruption for both techniques. Twelve synthetic tibia models with cortical shells were used as test models. Saw cuts for monoplanar MOWHTO and biplanar MOWHTO were generated on the test models in equal numbers (n = 6 for both groups). Wedge opening load and wedge gap distance were evaluated via compressive tests. The mean gap distance just before the lateral cortex fracture in the monoplanar group was 14.7 +/- 2.9 mm, which was significantly narrower than that in the biplanar group of 19.1 +/- 2.0 mm (p = 0.015). The mean load just before the occurrence of lateral cortex fracture of 32.4 +/- 3.2 N in the monoplanar osteotomy group was significantly lower than that in the biplanar osteotomy group of 111.8 +/- 9.3 N (p = 0.009). Performing a MOWHTO via the biplanar rather than the monoplanar technique allows larger-sized wedges to be opened with less risk of lateral cortical fracture. Thus, larger gaps can be opened and higher angle corrections can be achieved using the biplanar osteotomy procedure. From a clinical viewpoint, the biplanar osteotomy technique reduced the risk of lateral cortical hinge fracture during MOWHTO.en_US
dc.identifier.doi10.1007/s00167-016-4049-6
dc.identifier.endpage2920en_US
dc.identifier.issn0942-2056
dc.identifier.issn1433-7347
dc.identifier.issue9en_US
dc.identifier.pmid26897136en_US
dc.identifier.scopus2-s2.0-84958752072en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage2914en_US
dc.identifier.urihttps://doi.org/10.1007/s00167-016-4049-6
dc.identifier.urihttps://hdl.handle.net/20.500.12452/10834
dc.identifier.volume25en_US
dc.identifier.wosWOS:000408407200035en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofKnee Surgery Sports Traumatology Arthroscopyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMonoplanaren_US
dc.subjectBiplanaren_US
dc.subjectMedial Opening Wedgeen_US
dc.subjectHigh Tibial Osteotomyen_US
dc.subjectLateral Cortex Fractureen_US
dc.titleComparison of monoplanar versus biplanar medial opening-wedge high tibial osteotomy techniques for preventing lateral cortex fractureen_US
dc.typeArticleen_US

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