{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T02:16:20Z","timestamp":1768443380184,"version":"3.49.0"},"reference-count":13,"publisher":"SLACK, Inc.","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[1998,12]]},"abstract":"<jats:p>ABSTRACT<\/jats:p>\n          <jats:p>Five patients with tibia vara were treated with progressive opening-wedge osteotomy. The maximum varus deviation of the mechanical axis of the tibia varied from 20\u00b0 to 12\u00b0. The minimum postoperative follow-up was 26 months. Complete correction of the deformity was achieved without any major complications.<\/jats:p>\n          <jats:p>Progressive opening-wedge osteotomy offers several advantages over conventional osteotomy in adults. First, fibular osteotomy is unnecessary. Second, knee mobility is only slightly restricted immediately following surgery. Third, it is possible to adjust correction postoperatively, and finally, progressive opening-wedge osteotomy does not induce shortening of the lower limb. The most significant disadvantage is the need for prolonged external fixation. This technique should be reserved for patients with severe deformities (minimum of 15\u00b0 varus) and mild or moderate osteoarthrosis.<\/jats:p>","DOI":"10.3928\/0147-7447-19981201-05","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T11:04:48Z","timestamp":1619003088000},"page":"1253-1257","source":"Crossref","is-referenced-by-count":1,"title":["Progressive Opening-Wedge Osteotomy for Severe Tibia Vara in Adults"],"prefix":"10.3928","volume":"21","author":[{"given":"Julio","family":"de Pablos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pedro Gonz\u00e1lez","family":"Herranz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Barrios","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"crossref","unstructured":"1. Coventry MB Ustrup DM. Wallrich SL. Proximal tibial osteotomy. A critica] long-term study of 87 cases. J Bone Joint Surg Br. 1993; 75:196-201.","DOI":"10.2106\/00004623-199302000-00006"},{"key":"e_1_3_1_3_1","doi-asserted-by":"crossref","unstructured":"2. Coventry MB. Osteotomy about the knee for degenerative and rheumatoid arthritis: indications operative technique and results. \/ Bone Joint Surg Am. 1973;55:23-48.","DOI":"10.2106\/00004623-197355010-00002"},{"key":"e_1_3_1_4_1","doi-asserted-by":"crossref","unstructured":"3. Henderson RC Kemp GJ Green WB. Adolescent tibia vara: alternatives for operative treatment. J Bone Joint Surg Am. 1992; 74:342350.","DOI":"10.2106\/00004623-199274030-00004"},{"key":"e_1_3_1_5_1","doi-asserted-by":"crossref","unstructured":"4. Scheffer MM. Peterson HA. Openingwedge osteotomy for angular deformities in long bones in children. 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Palsy of the deep peroneal nerve after proximal tibial osteotomy. An anatomical study. J Bone Joint Surg Am. 1992;74:1180-1185.","DOI":"10.2106\/00004623-199274080-00007"},{"key":"e_1_3_1_10_1","doi-asserted-by":"crossref","unstructured":"9. Zaidi SHA Cobb AG Bentley G. Danger to the popliteal artery in high tibial osteotomy. J Bone Joint Surg Br. 1995; 77:384-386.","DOI":"10.1302\/0301-620X.77B3.7744920"},{"key":"e_1_3_1_11_1","doi-asserted-by":"crossref","unstructured":"10. Ca\u00f1adell J de Pablos J. Breaking bony bridges by physeal distraction. A new approach. Im Orthop. 1985; 9:223-229.","DOI":"10.1007\/BF00266507"},{"key":"e_1_3_1_12_1","doi-asserted-by":"crossref","unstructured":"11. Ca\u00f1adell J. de Pablos J. Correction of angular deformities by physeal distraction. Clin Orthop. 1992; 283:98-105.","DOI":"10.1097\/00003086-199210000-00014"},{"key":"e_1_3_1_13_1","unstructured":"12. De Pablos J Barrips C Azc\u00e1rate J. Modificaci\u00f3n del aparato de Wagner para la correcci\u00f3n progresiva de deformidades angulares en los huesos largos. Revista de Ortopedia y Traumatologie. 1991; 35: 489-493."},{"key":"e_1_3_1_14_1","doi-asserted-by":"crossref","unstructured":"13. De Pablos J Azc\u00e1rate J Barrios C. Progressive opening-wedge osteotomy for angular long-bone deformities in adolescents. 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