{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T21:24:04Z","timestamp":1773350644163,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[1996,9,1]],"date-time":"1996-09-01T00:00:00Z","timestamp":841536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[1996,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We investigated retrospectively 132 cases of open wedge high tibial osteotomy using an external fixation device, concentrating on the rate of neurological complications. One group of patients underwent surgery according to the conventional technique (<jats:italic>n<\/jats:italic>=89). The rate of transient neurological complications was 15.7%; 7\u00a0months after surgery the rate of persistent deficits was 12.4%. For the second group (<jats:italic>n<\/jats:italic>=43) a modified surgical technique was used that lowered the complication rate significantly (transient deficits 14%, persistent deficits 4.7%). In the modified technique the osteotomy is not performed in the conventional way using an oscillating saw but through consecutive drill holes of increasing diameter followed by osteoclasis. The lower complication rate in the second group is mainly due to the less extensive approach that leads to a smaller number of postoperative tibialis anterior syndromes (type B lesion). No differences were found with type C lesions (extension deficit of D1). No complete peroneal nerve palsy (type A) occurred in either group. We conclude that the reduction of neurological complications in group 2 is related to the less extensive approach of the proposed technique.<\/jats:p>","DOI":"10.1007\/bf01577407","type":"journal-article","created":{"date-parts":[[2005,4,28]],"date-time":"2005-04-28T04:42:52Z","timestamp":1114663372000},"page":"149-153","source":"Crossref","is-referenced-by-count":23,"title":["Open wedge high tibial osteotomy using fractioned drill osteotomy: a surgical modification that lowers the complication rate"],"prefix":"10.1002","volume":"4","author":[{"given":"S.","family":"Flierl","sequence":"first","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University Hospital Schlierbacher Landstrasse 200a D\u201069118 Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Sabo","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University Hospital Schlierbacher Landstrasse 200a D\u201069118 Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Hornig","sequence":"additional","affiliation":[{"name":"<!--<label>3<\/label>--> Department of Orthopaedic Surgery University Hospital D\u201066424 Homburg\/Saar Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Perlick","sequence":"additional","affiliation":[{"name":"<!--<label>1<\/label>--> Department of Orthopaedic Surgery University Hospital Schlierbacher Landstrasse 200a D\u201069118 Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1996,9]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-196951080-00005"},{"key":"e_1_2_1_3_2","first-page":"397","article-title":"Zur Technik der valgisierenden, knjegelenknahen Tibiakopfosteotomie","volume":"87","author":"Blauth W","year":"1984","journal-title":"Unfallheilkunde"},{"key":"e_1_2_1_4_2","first-page":"331","article-title":"High domed tibial osteotomy in the treatment of angular deviations in the knee","volume":"11","author":"Cassarino A","year":"1985","journal-title":"Ital J Orthop Traumatol"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567070-00025"},{"key":"e_1_2_1_6_2","first-page":"124","article-title":"Die Korrekturosteotomie am Tibiakopf bei prim\u00e4rer und sekund\u00e4rer Gonarthrose\u2014eine gelenkerhaltende Operation","volume":"20","author":"Dinkelacker F","year":"1990","journal-title":"Aktuel Traumatol"},{"key":"e_1_2_1_7_2","first-page":"87","article-title":"Langzeitergebnisse nach Tibiakopfosteotomie","volume":"24","author":"Evb R","year":"1988","journal-title":"Orthop Praxis"},{"key":"e_1_2_1_8_2","first-page":"3","article-title":"Weakness of foot dorsiflection and changes in compartment pressure after tibial ostcotomy","volume":"68","author":"Gibson MJ","year":"1986","journal-title":"J Bone Joint Surg [Br]"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198466070-00010"},{"key":"e_1_2_1_10_2","first-page":"161","article-title":"Indikation, Operationstechnik und Resultate der transkondyl\u00e4ren Tibiaosteotomie bei Gonarthrose","volume":"14","author":"Jenny K","year":"1985","journal-title":"Orthop\u00e4de"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00454689"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-87747-6"},{"key":"e_1_2_1_13_2","first-page":"721","article-title":"Indikation und Ergebnisse der intraligament\u00e4ren Umstellung nach Tibiakopffrakturen","volume":"164","author":"Lob G","year":"1984","journal-title":"Hefte Unfallheilkd"},{"key":"e_1_2_1_14_2","first-page":"398","article-title":"\u00dcber echte und scheinbare Peronaeusl\u00e4hmungen nach Operationen und Gipsverb\u00e4nden","volume":"51","author":"Mayr O","year":"1929","journal-title":"Z Orthop Chir"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00416050"},{"key":"e_1_2_1_16_2","first-page":"563","article-title":"Nachuntersuchungsergebnisse nach proximaler Tibiakopfosteotomie","volume":"36","author":"Ortlepp K","year":"1989","journal-title":"Beitr Orthop Traumatol"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-198812000-00038"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1037411"},{"key":"e_1_2_1_19_2","first-page":"363","article-title":"Ergebnisse der interligament\u00e4ren Tibiakopfumstellungsosteotomie bei arthrotischen und posttraumatischen Fehlstellungen","volume":"163","author":"Schwarzkopf W","year":"1984","journal-title":"Hefte Unfallheilkd"},{"key":"e_1_2_1_20_2","first-page":"239","article-title":"High tibial osteotomy","volume":"104","author":"Slocum DB","year":"1974","journal-title":"Chir Orthop"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-197153080-00018"},{"key":"e_1_2_1_22_2","first-page":"31","article-title":"Die isolierte Gro\u00dfzehenheberschw\u00e4che nach Fibulaosteotomie","volume":"117","author":"St\u00fcrz H","year":"1979","journal-title":"Z Orthop"},{"key":"e_1_2_1_23_2","first-page":"637","article-title":"Zuggurtungsosteosynthese bei Tibiakopfosteotomie","volume":"124","author":"Weber BG","year":"1980","journal-title":"Z Orthop"},{"key":"e_1_2_1_24_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1040163"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199307000-00011"}],"container-title":["Knee Surgery, Sports Traumatology, Arthroscopy"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01577407.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01577407\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01577407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,19]],"date-time":"2025-10-19T09:19:40Z","timestamp":1760865580000},"score":1,"resource":{"primary":{"URL":"https:\/\/esskajournals.onlinelibrary.wiley.com\/doi\/10.1007\/BF01577407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,9]]},"references-count":24,"journal-issue":{"issue":"3","published-print":{"date-parts":[[1996,9]]}},"alternative-id":["10.1007\/BF01577407"],"URL":"https:\/\/doi.org\/10.1007\/bf01577407","archive":["Portico"],"relation":{},"ISSN":["0942-2056","1433-7347"],"issn-type":[{"value":"0942-2056","type":"print"},{"value":"1433-7347","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,9]]}}}