J Knee Surg 2017; 30(05): 426-434
DOI: 10.1055/s-0037-1603505
Special Focus Section
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Implant Alternatives for Tibial Osteotomies

Ryan M. Degen
1  Department of Orthopedic Surgery, Western University, London, Ontario, Canada
,
Alan Getgood
1  Department of Orthopedic Surgery, Western University, London, Ontario, Canada
› Author Affiliations
Further Information

Publication History

08 November 2016

18 April 2017

Publication Date:
01 June 2017 (online)

Abstract

Tibial osteotomies have commonly been used to treat varus malalignment with associated medial compartment degeneration. Initially, lateral closing wedge osteotomies were commonly used. However, with the advent of improved plate osteosynthesis techniques, medial opening wedge osteotomies have become the mainstay of treatment. Presently, there are several available fixation devices, with no clear consensus on which represents the superior option. This article will serve to review the technological evolution of tibial osteotomy fixation devices, highlighting the comparative biomechanical evidence of available constructs.