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The restriction-style and frictional-style FCDs can improve conformance and delay breakthrough (as might occur due to a fracture, well trajectories that bring segments of the lateral close to gas cap/aquifer, etc). of unwanted water/gas/steam depending on the goals of their installation.
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In the combined lateral closing with medial opening wedge osteotomy (Fig. 5), a laterally based wedge was removed, but with the apex beneath the medial margin of the patellar tendon instead of at the medial cortex.
Both lateral closing and medial opening techniques exist to produce a valgus alignment (Staubli 2008; Staubli and Jacob 2010).
Because of these same anatomical features, lateral closing wedge osteotomy causes small decreases in posterior tibial slope.
This retrospective cohort study is a report on the short- to mid-term results of the distal lateral closed-wedge valgus osteotomy of the femur.
Göran Bauer et.al described a lateral closing wedge osteotomy performed with a transverse skin incision in the metaphyseal area proximal to the attachment site of patellar tendon.
Once the wedge size has been determined, the correction can be obtained via a medial opening wedge (MOW) or a lateral closing wedge (LCW) HTO.
The next step would be a prospective study comparing patients preoperatively and post-operatively after a distal lateral closed-wedge valgus osteotomy of the femur.
Lateral closing wedge (LCW) and medial opening wedge (MOW) HTOs have been performed and their potential advantages and disadvantages have been well described.
Many techniques have been described: medial opening or closing wedge osteotomy, corrective Z-shaped osteotomy of the fibula, lateral lengthening calcaneal osteotomy, lateral closing wedge osteotomy (Barg et al. 2013).
After the introduction of a biplanar technique in medial closing-wedge distal femur osteotomies [8] in our group, a biplanar osteotomy technique was used for lateral closing-wedge osteotomies.
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