LAHAINA, Hawaii 2008 – While the use of nonarthroplasty options for knee arthritis has diminished during the last decade, one orthopedic surgeon presenting here said that realignment osteotomy remains a good option for a certain patient population…
…Two major pitfalls for osteotomies are poor patient selection and technique, which often results in poor alignment postoperatively, he said.
Trousdale said he prefers to use the opening wedge osteotomy rather than the closing wedge approach.
“Some of the advantages of the medial opening wedge osteotomy include a more precise correction, its ease of use, it avoids the proximal tibiofibular joint, and it does not require a fibular osteotomy. It also restores tension to a lax medial cruciate ligament,” he said.