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Lateral hinge fracture in medial opening wedge high tibial osteotomy: a narrative review

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dc.contributor.authorFranulic, Nicolás
dc.contributor.authorMuñoz, José
dc.contributor.authorFigueroa, Francisco
dc.contributor.authorInnocenti, Piero
dc.contributor.authorGaggero, Nicolás
dc.date.accessioned2024-04-04T14:58:18Z
dc.date.available2024-04-04T14:58:18Z
dc.date.issued2023
dc.description.abstractLateral hinge fractures (LHF) are one of the most common complications of medial opening wedge high tibial osteotomy (MOWHTO), and are the leading cause of construct instability displacement, non-union, and varus recurrence after this procedure. To date, Takeuchi's classification is the most popular classification to describe this complication, and it can help surgeons to make intra and postoperative decisions. Opening medial gap width is the most recognized factor related to LHF occurrence. Recognizing the implications of LHF in patients' clinical and radiographic results has led many authors to propose surgical tips and the use of osteosynthesis materials such as K-wires and screws for its prevention, which should be considered when identifying risk factors for LHF during preoperative planning. The evidence for determining the optimal management of LHF is scarce and mostly supported by experts' opinions and recommendations; therefore, studies are still needed to identify the most appropriate behavior when dealing with such a complication.
dc.description.versionPublicada
dc.identifier.citationFranulic N, Muñoz JT, Figueroa F, Innocenti P, Gaggero N. Lateral hinge fracture in medial opening wedge high tibial osteotomy: a narrative review. EFORT Open Rev. 2023 Jul 3;8(7):572-580. doi: 10.1530/EOR-22-0103
dc.identifier.doihttps://doi.org/10.1530/EOR-22-0103
dc.identifier.urihttps://hdl.handle.net/11447/8593
dc.language.isoen
dc.subjectKnee
dc.subjectLateral hinge fractures
dc.subjectMedial opening wedge high tibial osteotomy
dc.titleLateral hinge fracture in medial opening wedge high tibial osteotomy: a narrative review
dc.typeArticle
dcterms.accessRightsAcceso Abierto
dcterms.sourceEFORT open reviews
dspace.entity.typePublication

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