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Aoki, Y., Yasuda, K., Mikami, S., Ohmoto, H., Majima, T. and Minami, A. (2006) Inverted V-Shaped High Tibial Osteotomy Compared with Closing Wedge High Tibial Osteotomy for Osteoarthritis of the Knee. Ten Year Follow-Up Result. Journal of Bone and Joint Surgery, 88, 1336-1340.
http://dx.doi.org/10.1302/0301-620X.88B10.17532

has been cited by the following article:

• TITLE: Combined Antero-Posterior Inverted-U Metaphyseal and Open-Wedge Medial-Epiphyseal Osteotomy for Advanced Blount Disease

  AUTHORS: Alfred O. Ogbemudia, Anirejuoritse Bafor, Ehimwenma J. Ogbemudia, Edwin Edomwonyi

  KEYWORDS: Blount Disease, Double Osteotomy, Tibial Osteotomy, Blount Disease

  JOURNAL NAME: Surgical Science, Vol.6 No.4, April 9, 2015

  ABSTRACT: Background: Blount disease is frequently associated with deformities that may not be adequately corrected by a single metaphyseal osteotomy. This study evaluated the outcome of a combined metaphyseal and epiphyseal osteotomy in severe cases. Methods: We prospectively evaluated the outcome of combining the antero-posterior inverted-U metaphyseal osteotomy with a medial open-wedge hemi-epiphyseal osteotomy in eighteen patients (27 tibiae) with Stage IV to VI Blount disease. Results: The average age of patients was 9 years (ranging from 5 to 17). The tibio-femoral angle improved from 43° varus (Range: 34° - 78°) to 2° varus (Range: 5° valgus to 8° varus). The metaphyseal-diaphyseal angle improved from 36° to 8° varus. Internal tibial torsion improved from 39° to 2°. All the patients were able to achieve 110°of knee flexion in a year. Conclusion: In conclusion, the combined metaphyseal and epiphyseal osteotomy satisfactorily corrected tibio-femoral and metaphyseal-diaphyseal varus and internal tibial torsion without recurrence in patients with severe Blount disease. Level of Evidence: IV.