Sentence examples for closed wedge from inspiring English sources
Plate and rigid internal fixation were applied in closed wedge osteotomies [24, 25].
Open image in new window Fig. 1 The closed wedge osteotomy lines.
In some, the closed wedge osteotomy above the TT was fixed with a blade plate.
The intact fibula causes a problem for laterally based closed wedge osteotomies in the proximal tibia.
These techniques are of the closed wedge, dome and open wedge types.
Studies comparing the closed wedge and the open wedge techniques with internal fixation show the advantages of the closed wedge technique with archived and maintained correction and less risk of complications [17, 18].
The iBalance implant, a PEEK spacer, is inserted into the osteotomy gap in a uniplanar and closed-wedge-like technique with immediate close contact between the PEEK material and the proximal and distal cortical and spongious bone surface (Pape et al. 2012).
The dotted line represents the height of the first transverse osteotomy cut (lateral open- and closed-wedge distal femoral osteotomies) and the proximal grey zone is an example of the area were the second transverse bone cuts are positioned in lateral closed-wedge distal femoral osteotomies (depending of pre-planned distance).
These data suggest that both mechanical static and fatigue strength increase with a wider proximal T-shaped plate design together with diverging proximal screws as used in the ContourLock plate or a closed-wedge construction as in the iBalance design.
Both the UTA, on the medial side, and the LTA, on the lateral side, can serve as a landmark for orthopedic surgeons in determining the height of the transverse cuts in open- and closed-wedge distal femoral osteotomies.
We concluded in our previous studies (Diffo Kaze, 2016; Diffo Kaze et al., 2015) that mechanical static and fatigue strength increase with a wider proximal T-shaped plate design together with diverging proximal screws as used in the ContourLock plate, or in a closed-wedge construction as in the iBalance design.
