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

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dc.contributor.authorTurkmen, Faik
dc.contributor.authorKacira, Burkay Kutluhan
dc.contributor.authorOzera, Mustafa
dc.contributor.authorElibolb, Fatma Kubra Erbay
dc.contributor.authorBilgea, Onur
dc.contributor.authorDemirc, Teyfik
dc.date.accessioned2024-02-23T14:03:16Z
dc.date.available2024-02-23T14:03:16Z
dc.date.issued2022
dc.departmentNEÜen_US
dc.description.abstractBackground 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 open -ing 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.(c) 2022 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2022.08.071
dc.identifier.endpage3832en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue11en_US
dc.identifier.pmid36116961en_US
dc.identifier.scopus2-s2.0-85138583710en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage3828en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2022.08.071
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12041
dc.identifier.volume53en_US
dc.identifier.wosWOS:000893259500009en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal Of The Care Of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectHigh Tibial Osteotomyen_US
dc.subjectLateral Cortical Hinge Fractureen_US
dc.subjectMedial Opening Wedgeen_US
dc.subjectEnd Point Of The Osteotomyen_US
dc.subjectHigh Tibial Osteotomyen_US
dc.subjectLateral Cortical Hinge Fractureen_US
dc.subjectMedial Opening Wedgeen_US
dc.subjectEnd Point Of The Osteotomyen_US
dc.titleThe 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 osteotomyen_US
dc.typeArticleen_US

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