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High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
Valgus osteotomy. The black line is the mechanical axis. Knee osteotomy is commonly used to realign arthritic damage on one side of the knee. The goal is to shift the patient's body weight off the damaged area to the other side of the knee, where the cartilage is still healthy.
The triple tibial osteotomy has been developed as a hybrid of two previously available orthopaedic procedures, the tibial tuberosity advancement and the tibial plateau leveling osteotomy. The tibial tuberosity advancement neutralises shear force within the stifle by advancing the tibial tuberosity until the tibial plateau is at right angles to ...
A Le Fort I osteotomy surgically moves the upper jaw to correct misalignment and deformities. It is used in the treatment for several conditions, including skeletal class II malocclusion, cleft lip and cleft palate, vertical maxillary excess (VME) or deficiency, and some specific types of facial trauma, particularly those affecting the mid-face.
In a TPLO procedure, the tibial plateau, the portion of the tibia adjoining the stifle, is cut and rotated so that its slope changes to approximately 5 degrees from the horizontal plane. [4] This prevents the femur from sliding down the slope of the tibial plateau when the dog puts weight on its knee. This surgery generally results in faster ...
In medicine, the Ottawa ankle rules are a set of guidelines for clinicians to help decide if a patient with foot or ankle pain should be offered X-rays to diagnose a possible bone fracture. Before the introduction of the rules most patients with ankle injuries would have been imaged.
Type IV = Medial tibial plateau fracture, with or without depression; may involve tibial spines; associated soft tissue injuries. This is a medial tibial plateau fracture with a split or depressed component. It is usually the result of a high energy injury and involves a varus force with axial loading at the knee.
During osteotomy, the metacarpal is cut and a wedge shape bone fragment is removed to move the bone away from the hand. [35] Postoperative, the thumb of the patient is immobilized using a thumb-cast. Possible complications are non-union of the bone, persistent pain related to unrecognized CMC or pantrapezial disease and radial sensory nerve injury.