Table 8.4.1
Advantages and disadvantages of opening wedge versus closing wedge
AdvantagesDisadvantages

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

AdvantagesDisadvantages

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

Close
This Feature Is Available To Subscribers Only

Sign In or Create an Account

Close

This PDF is available to Subscribers Only

View Article Abstract & Purchase Options

For full access to this pdf, sign in to an existing account, or purchase an annual subscription.

Close