. | Advantages . | Disadvantages . |
---|---|---|
Closing wedge | No bone graft | Bone loss |
Early stability | Altered anatomy with offset tibial plateau and high fibula | |
Early weight bearing | Patella infera | |
Low non-union rate | Tendency to decrease tibial slope | |
Opening wedge | Less bone deformity | Bone graft |
Fibula not affected | Delayed union | |
Common peroneal nerve not at risk | Fracture into joint on distraction | |
Anterior compartment and tibialis anterior spared | Patella infera | |
Tendency to increase tibial slope |
. | Advantages . | Disadvantages . |
---|---|---|
Closing wedge | No bone graft | Bone loss |
Early stability | Altered anatomy with offset tibial plateau and high fibula | |
Early weight bearing | Patella infera | |
Low non-union rate | Tendency to decrease tibial slope | |
Opening wedge | Less bone deformity | Bone graft |
Fibula not affected | Delayed union | |
Common peroneal nerve not at risk | Fracture into joint on distraction | |
Anterior compartment and tibialis anterior spared | Patella infera | |
Tendency to increase tibial slope |
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