Opening Wedge Osteotomies of the Proximal Tibia and Distal Femur
Pp. 91-104 (14)
Maurizio Montalti and Saverio Affatato
The use of osteotomy is a method to restore knee alignment and is based on
the transfer of weight-bearing forces from the area affected by arthrosis to a healthy
region of the knee. This force redistribution is the distinctive aspect of osteotomy when
compared to other treatment methods. In the last decades, since the introduction and
success of knee arthroplasty, the predominance of osteotomy has gradually declined.
Nowadays, the actual necessity of osteotomy, beside as a prophylactic operation, is still
debated. However, osteotomy remains a valuable technique, in agreement with precise
Biomechanics, Lateral opening wedge, Medial opening wedge,
Osteotomy, Osteotomy contraindications, Patient selection, Postoperative axis,
Postoperative rehabilitation, Preoperative axis, Radiographic evaluation, Surgical
Medical Technology Laboratory, Rizzoli Orthopaedic Institute, Bologna- Italy.