Retrospective Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Mar 18, 2021; 12(3): 140-151
Published online Mar 18, 2021. doi: 10.5312/wjo.v12.i3.140
Proximal tibial osteotomy for genu varum: Radiological evaluation of deformity correction with a plate vs external fixator
S Ali Ghasemi, David T Zhang, Austin Fragomen, S Robert Rozbruch
S Ali Ghasemi, David T Zhang, Austin Fragomen, S Robert Rozbruch, Department of Orthopedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, NY 10021, United States
Author contributions: All authors contributed writing the paper and data collection.
Institutional review board statement: The study was reviewed and approved by Hospital for Special Surgery Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: None of the authors has any conflict directly relating to the subject of study. Unrelated disclosures: Dr. Fragomen A is a consultant for Smith & Nephew, NuVasive and Synthes. Dr. Rozbruch SR is a consultant for NuVasive, Stryker, Smith & Nephew and Orthospin.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: S Ali Ghasemi, MD, Academic clinical Fellow, Department of Orthopedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, 535 E 70th St, New York, NY 10021, United States. ghasemisar2@gmail.com
Received: May 23, 2020
Peer-review started: May 23, 2020
First decision: October 6, 2020
Revised: November 12, 2020
Accepted: February 11, 2021
Article in press: February 11, 2021
Published online: March 18, 2021
Processing time: 287 Days and 9.7 Hours
Core Tip

Core Tip: Open wedge high tibial osteotomy with plate and screw fixation is feasible and an appealing operation for surgeons. Overcorrection or under correction of the deformity leads to the persistence of pain. Patellar height changes affect patients with patellofemoral injuries. With the external fixator technique, the residual deformity can be corrected after surgery, and patellar height changes can be prevented. This is a retrospective study that was conducted to compare the accuracy and radiological outcomes of monolateral external fixation and internal fixation for proximal tibial varus deformity correction.